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West Virginia rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.41 / $2.41 / $2.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $2.41 / $3.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.89 / $5.46 / $7.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $3.11 / $5.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $3.30 / $5.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.67 / $21.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $2.18 / $4.13