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West Virginia rates for HCPCS A4412

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), without filter, each

Facilitymedian $2 · 10th–90th $2–$90%50%90th$2Professionalmedian $2 · 10th–90th $2–$30%50%90th$2$1.0$2.0$5.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.02
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $5.13 / $6.31
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $4.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $8.71 / $8.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $18.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $1.45 / $2.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $2.14 / $3.24