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West Virginia rates for HCPCS A5063

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

Facilitymedian $4 · 10th–90th $2–$60%20%10th90th$4Professionalmedian $2 · 10th–90th $1–$30%50%10th90th$2$1.0$2.0$5.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $2.00 / $3.02
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $4.68 / $6.31
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $6.31 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $6.03 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $18.20
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $2.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $1.45 / $2.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $2.14 / $3.24