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West Virginia rates for HCPCS A5072

Ostomy Pouch Urinary; Without Barrier Attached (1piece) Each (Updated 01-01-2003) 30)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.72 / $2.72 / $2.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.72 / $3.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.21 / $6.18 / $8.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $3.46 / $5.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $6.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.86 / $3.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.11 / $2.46 / $4.40