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Texas rates for HCPCS A4368

Ostomy filter, any type, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.17
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.36 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $85.11 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $3.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.30 / $0.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.36 / $0.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $2,754.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.30 / $0.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.14 / $0.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.17 / $0.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36