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West Virginia rates for HCPCS A4417

Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.87 / $2.87 / $2.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $3.19 / $3.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $7.03 / $9.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.65 / $6.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $3.60 / $6.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $3.13 / $25.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.60 / $4.33