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West 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
$4.62 / $4.62 / $4.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.62 / $5.13 / $5.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.45 / $10.48 / $14.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $5.87 / $10.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $5.33 / $9.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.03 / $40.54
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.87 / $5.87 / $5.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $4.18 / $7.50