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Texas rates for HCPCS A4376

Ostomy Pouch Drainable With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.18 / $43.08 / $48.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.18 / $43.66 / $58.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.97 / $37.97 / $42.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.48 / $66.48 / $66.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $39.94 / $45.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $33.95 / $46.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.25 / $315.77 / $315.77
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.07 / $331.07 / $498.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $48.90 / $66.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.69 / $59.83 / $66.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $47.58 / $66.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $33.95 / $55.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.50 / $30.67 / $40.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $33.31 / $66.48