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Virginia rates for HCPCS A4425

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $3.09 / $3.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $3.09 / $3.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $3.34
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $3.38 / $3.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $2.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $5.00 / $6.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $3.30 / $5.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $6.57 / $8.33
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $3.95 / $6.83
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.95 / $6.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.50 / $3.58