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Texas rates for HCPCS A4384

Ostomy Faceplate Equivalent Silicone Ring Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.70 / $8.69 / $9.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $8.82 / $11.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.07 / $7.68 / $8.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.39 / $6.39 / $7.17
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.42 / $13.42 / $13.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $6.86 / $9.49
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
$66.83 / $66.83 / $100.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $9.88 / $13.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.21 / $12.08 / $13.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $9.61 / $13.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $6.86 / $11.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $5.22 / $6.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $6.20 / $8.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $13.42