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West Virginia rates for HCPCS A4434

Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.90 / $2.90 / $2.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $3.22 / $3.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $7.09 / $9.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $3.68 / $6.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $6.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.51 / $25.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.63 / $4.37