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Texas rates for HCPCS A4379

Ostomy pouch, urinary, with faceplate attached, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $13.59 / $15.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $13.78 / $18.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.04 / $11.99 / $13.40
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.98 / $20.98 / $20.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $14.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $11.82 / $13.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.56 / $99.66 / $99.66
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.48 / $104.48 / $157.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $15.43 / $20.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.84 / $18.88 / $20.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $15.02 / $20.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $11.82 / $14.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.42 / $9.68 / $12.77
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.51 / $10.51 / $20.98