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Virginia rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $7.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $8.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.13 / $11.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $5.89 / $10.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.01 / $5.37
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $7.08 / $12.30
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.08 / $12.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $3.16 / $3.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.98 / $6.31