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Texas rates for HCPCS A4373

Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $5.67 / $6.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $5.75 / $7.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.57 / $5.57 / $5.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.60 / $9.25 / $24.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.67
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.76 / $8.76 / $8.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $5.26 / $5.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $5.57
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
$43.62 / $43.62 / $65.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $6.43 / $8.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $7.88 / $8.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $6.28 / $8.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $7.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $4.04 / $5.34
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $8.76