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West 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
$4.25 / $4.25 / $4.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $4.72 / $5.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $9.63 / $13.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.39 / $9.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $5.71 / $9.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $4.62 / $37.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $3.84 / $6.05