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Texas rates for HCPCS A4380

Ostomy Pouch Urinary With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.04 / $33.79 / $38.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.04 / $34.26 / $45.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.44 / $29.79 / $33.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $27.86
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.16 / $52.16 / $52.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.45 / $34.45 / $35.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $29.28 / $34.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $247.76 / $247.76
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.76 / $259.76 / $391.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.28 / $38.36 / $52.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.92 / $46.94 / $52.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.28 / $37.33 / $52.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $29.28 / $36.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.43 / $24.06 / $31.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.13 / $26.13 / $52.16