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Texas rates for HCPCS A4330

Perianal Fecal Collection Pouch With Adhesive Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.94 / $6.50 / $7.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $6.50 / $8.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $11.19 / $27.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.29 / $5.29 / $5.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.01 / $6.01 / $11.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.11 / $5.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.07 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.85 / $49.85 / $71.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.50 / $7.75 / $12.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.64 / $9.19 / $9.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.40 / $13.00 / $19.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.59 / $7.80 / $12.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.11 / $9.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $4.61 / $6.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.15 / $9.89 / $13.35