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West 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
$2.10 / $2.10 / $2.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.34 / $2.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.48 / $4.76 / $6.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.67 / $4.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.42 / $4.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.29 / $18.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.90 / $3.17