go back

West 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
$2.58 / $2.58 / $2.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $2.87 / $3.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.05 / $5.86 / $8.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $3.28 / $5.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.98 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.81 / $22.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.33 / $3.89