go back

West Virginia rates for HCPCS A4393

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

Facilitymedian $6 · 10th–90th $6–$200%50%90th$6Professionalmedian $7 · 10th–90th $6–$100%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 / $10.00
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $8.13 / $16.98
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $20.42 / $20.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $61.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $4.90 / $8.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $7.24 / $10.96