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Texas rates for HCPCS A4369

Ostomy skin barrier, liquid (spray, brush, etc.), per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.98 / $2.20 / $17.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.23 / $2.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $2.15 / $3.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.16 / $3.58 / $9.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.81 / $1.81
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.71 / $4.19
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.47 / $3.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $2.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.67 / $18.38 / $25.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $2.49 / $3.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $2.88 / $3.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $2.42 / $3.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $2.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.56 / $2.06
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.75 / $3.39