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Virginia rates for HCPCS A4426

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.36 / $2.36 / $2.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.36 / $2.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $1.91 / $2.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $2.58 / $2.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $2.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $3.81 / $4.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $2.50 / $4.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $5.01 / $6.35
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $3.01 / $5.21
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.01 / $5.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.90 / $2.87