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Texas rates for HCPCS A4378

Ostomy pouch, drainable, for use on faceplate, rubber, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.44 / $27.84 / $31.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.44 / $28.22 / $37.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.60 / $24.54 / $27.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.95 / $22.95 / $22.95
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.96 / $42.96 / $42.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $25.81 / $27.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $21.94 / $30.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.75 / $204.06 / $204.06
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.94 / $213.94 / $322.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.76 / $31.60 / $42.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.29 / $38.65 / $42.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.76 / $30.75 / $42.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $21.94 / $35.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.18 / $19.82 / $26.14
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $42.96