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Virginia rates for HCPCS A4404

Ostomy Ring Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.45 / $1.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.57
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $2.23 / $2.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $1.54 / $2.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $3.08 / $4.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $1.87 / $3.16
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.88 / $3.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.15 / $1.60