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Virginia rates for HCPCS A4433

Ostomy pouch, urinary; for use on barrier with locking flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.90 / $2.90 / $3.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $2.90 / $3.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.34 / $3.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $3.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.39 / $2.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $4.69 / $5.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $3.11 / $5.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $6.15 / $7.81
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $3.69 / $6.41
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.69 / $6.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.33 / $3.34