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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

Facilitymedian $4 · 10th–90th $4–$130%50%90th$4Professionalmedian $5 · 10th–90th $4–$70%20%40%10th90th$5$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 / $5.01 / $7.08
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $5.50 / $11.22
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $13.49 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $40.74
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $5.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $3.24 / $5.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.79 / $7.24