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Virginia rates for HCPCS A4396

Ostomy belt with peristomal hernia support

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $38.02 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $33.88 / $48.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $58.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $33.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $57.54 / $81.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $40.74 / $60.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $40.74 / $70.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.90 / $38.02
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $50.12 / $165.96
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $50.12 / $165.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $21.88 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $28.18 / $43.65