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Ostomy Irrigation Cone or Catheter, with or without Brush

West Virginia rates for HCPCS A4399

Ostomy irrigation supply; cone/catheter, with or without brush

Rates data updated July 2026.

How much does Ostomy Irrigation Cone or Catheter, with or without Brush cost?

$10.47

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $10.47 for this service. The price depends on where it is billed: about $10.47 from a physician practice, and about $7.94 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.47$7.94 to $10.72
FacilityA hospital or hospital-owned outpatient department$7.94$7.94 to $7.94

How much rates vary

Facilitymedian $8 · 10th to 90th $8 to $20Professionalmedian $10 · 10th to 90th $8 to $11
$10$20$50facility $8professional $10

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.47
Typical High
$11.48
CareSource
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$19.05
Typical High
$20.42
CareSource
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$22.39
Typical High
$22.39
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$6.61
Typical High
$11.22
United
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$8.91
Typical High
$14.13

Where West Virginia sits

The same service costs 2.2 times more in Wisconsin than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 31st of 51

$10.47

WI $17.38CO $7.76

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.