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West Virginia rates for HCPCS A5071

Ostomy pouch, urinary; with barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $6.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $5.50 / $11.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $13.49 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $40.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.80 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $4.79 / $7.24