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Virginia rates for HCPCS A4413

Ostomy Pouch Drainable High Output For Use On A Barrier With Flange (2 Piece System) With Filter Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $4.76 / $5.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $4.76 / $5.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $3.85 / $5.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $5.20 / $5.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $4.62 / $5.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $3.93 / $5.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $7.70 / $9.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $5.07 / $8.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $10.11 / $12.83
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.07 / $6.11 / $10.58
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $6.23 / $11.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.84 / $5.50