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West Virginia rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.12 / $2.12 / $2.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.36 / $2.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $4.80 / $6.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.70 / $4.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.45 / $4.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.31 / $18.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.92 / $3.20