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Virginia rates for HCPCS A4424

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.11 / $4.11 / $4.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $4.11 / $4.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.33 / $4.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.49 / $4.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.40 / $4.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.99 / $6.65 / $7.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $4.38 / $7.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $8.74 / $11.08
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $5.24 / $9.09
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $5.24 / $9.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.32 / $4.99