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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 / $5.01 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $7.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $8.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $9.12 / $23.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $5.25
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
$43.65 / $66.07 / $66.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $7.59 / $12.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $8.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $81.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $7.24 / $12.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $6.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $3.39 / $4.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $4.07 / $5.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91