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Texas rates for HCPCS A4371

Ostomy skin barrier, powder, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $3.30 / $3.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $3.35 / $4.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $3.57 / $5.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $5.63 / $14.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.72 / $2.72
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $4.08 / $6.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.46 / $4.46 / $5.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.80 / $3.06 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $2.60 / $3.24
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
$25.25 / $25.25 / $38.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $3.79 / $5.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $4.46 / $5.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $3.65 / $5.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $2.60 / $4.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.35 / $3.10
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $5.09