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West Virginia rates for HCPCS A5053

Ostomy pouch, closed; for use on faceplate, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.33 / $1.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $3.01 / $4.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.69 / $2.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.37 / $2.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.36 / $1.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $1.21 / $1.90