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Virginia rates for HCPCS A4415

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.18 / $5.18 / $5.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.62 / $5.18 / $6.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.20 / $5.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.67 / $5.67 / $5.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $5.03 / $5.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.29 / $8.38 / $10.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $5.52 / $9.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $11.00 / $13.95
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.52 / $6.62 / $11.51
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.49 / $6.55 / $11.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $4.18 / $6.00