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West Virginia rates for HCPCS A4431

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.32 / $5.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.64 / $10.84 / $15.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $6.07 / $10.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $5.59 / $10.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $5.59 / $41.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $4.33 / $7.22