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West Virginia rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.48 / $1.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $3.01 / $4.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.69 / $2.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.54 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $11.62
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $1.21 / $1.91