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West 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
$4.44 / $4.44 / $4.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.94 / $5.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.23 / $10.87 / $14.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.23 / $5.64 / $9.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $9.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.84 / $38.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $4.07 / $6.70