go back

Virginia rates for HCPCS A4430

Ostomy pouch, urinary, with extended wear 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
$7.35 / $7.35 / $8.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $7.35 / $9.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $5.96 / $7.93
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $8.50 / $8.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $6.08 / $7.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.93 / $11.90 / $14.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $7.84 / $13.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $15.64 / $19.82
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.84 / $9.40 / $16.27
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $9.40 / $16.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $5.93 / $8.52