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Texas rates for HCPCS A4381

Ostomy pouch, urinary, for use on faceplate, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $4.19 / $4.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $4.25 / $5.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.68 / $4.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.08 / $3.08 / $3.08
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $6.46 / $6.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $3.88 / $4.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $4.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.17 / $32.17 / $48.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $4.75 / $6.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $5.81 / $6.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $4.61 / $6.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $5.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.98 / $3.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $6.46