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West Virginia rates for HCPCS A5052

Ostomy Pouch Closed; Without Barrier Attached (1 Piece) Each (Updated 01-01-2003) 0)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $1.14 / $1.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.27 / $1.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $2.81 / $3.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.46 / $2.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.25 / $2.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $10.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.04 / $1.73