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Virginia rates for HCPCS A4420

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $2.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.72 / $2.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $1.04
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.75 / $19.67 / $1,291.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.75 / $19.67 / $1,291.00