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West Virginia rates for HCPCS A5093

Ostomy Accessory; Convex Insert (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.28 / $1.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.43 / $1.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.90 / $4.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.91 / $3.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $3.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.64 / $12.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.33 / $2.33