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West Virginia rates for HCPCS A4425

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

Facilitymedian $5 · 10th–90th $2–$80%20%10th90th$5Professionalmedian $3 · 10th–90th $2–$40%20%40%10th90th$3$2.0$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.98
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $6.31 / $8.32
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $8.32 / $11.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $7.94 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $23.99
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.47 / $3.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $1.95 / $3.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.88 / $4.27