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Virginia rates for HCPCS A4392

Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $7.08 / $10.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $12.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $6.92 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $6.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $11.75 / $16.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $8.13 / $12.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $8.32 / $14.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $7.08 / $7.59
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $10.23 / $39.81
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.23 / $33.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $4.37 / $5.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.75 / $8.71