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West Virginia rates for HCPCS A5063

Ostomy pouch, drainable; for use on barrier with flange (two-piece system), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $2.31 / $2.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $4.54 / $5.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $4.54 / $8.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.40 / $4.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.27 / $18.27
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.73 / $64.73 / $64.73
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.88 / $3.14