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West Virginia rates for HCPCS A4407

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.75 / $6.75 / $6.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $7.50 / $8.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.78 / $14.69 / $18.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $14.69 / $28.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $7.79 / $14.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $7.35 / $59.24
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $7.29 / $8.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.72 / $4.72 / $8.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $6.11 / $9.64