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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
$7.06 / $7.06 / $7.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $7.06 / $8.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $7.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.73 / $7.73 / $7.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $7.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $5.83 / $8.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $11.42 / $13.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $7.61 / $13.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $15.00 / $19.02
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.53 / $9.03 / $15.70
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $8.94 / $15.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $5.69 / $8.18