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West Virginia rates for HCPCS A4409

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $6.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $10.96 / $14.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $12.88 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $13.80 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $41.69
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $6.03 / $6.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.98 / $5.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $5.01 / $7.41