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West Virginia rates for HCPCS A4423

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.43 / $1.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.59 / $1.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.68 / $3.50 / $4.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $1.81 / $3.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.66 / $3.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.56 / $12.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.30 / $2.60