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West Virginia rates for HCPCS A4429

Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.36 / $6.36 / $6.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $7.06 / $7.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.49 / $15.57 / $20.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $8.07 / $13.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $7.54 / $13.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.41 / $6.41 / $55.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $5.78 / $9.58