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Texas rates for HCPCS A4383

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.66 / $25.52 / $28.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.66 / $25.87 / $34.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $22.50 / $25.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.38 / $39.38 / $39.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $26.07 / $26.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $22.16 / $22.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.95 / $187.06 / $187.06
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.11 / $196.11 / $295.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $28.97 / $39.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.10 / $35.44 / $39.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $28.19 / $39.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $22.16 / $30.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.92 / $18.17 / $23.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $19.73 / $39.38