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West Virginia rates for HCPCS A5051

Ostomy Pouch Closed; With Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $1.59 / $1.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.76 / $1.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $3.60 / $5.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $2.02 / $3.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $3.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.73 / $13.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.44 / $2.59