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West Virginia rates for HCPCS A5062

Ostomy pouch, drainable; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $4.17 / $4.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $3.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $4.90 / $4.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $14.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.41 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.74 / $2.63