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West 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
$6.56 / $6.56 / $6.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.56 / $7.29 / $8.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.74 / $14.88 / $20.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $8.33 / $14.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.57 / $13.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $7.15 / $57.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $5.93 / $10.65