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West Virginia rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Facilitymedian $4 · 10th–90th $4$120%50%90th$4Professionalmedian $4 · 10th–90th $4$60%20%40%10th90th$4$2.0$5.0$10.0$20.0

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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $6.03
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $5.01 / $10.47
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $12.30 / $12.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $37.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $2.95 / $5.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $4.37 / $6.61