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West Virginia rates for HCPCS A4392

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

Facilitymedian $6 · 10th–90th $6–$180%50%90th$6Professionalmedian $7 · 10th–90th $6–$90%20%10th90th$7$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.08 / $8.91
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $15.49
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $18.20 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $54.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.37 / $7.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $6.61 / $9.77