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Texas rates for HCPCS A4388

Ostomy pouch, drainable, with extended wear barrier attached, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.95 / $4.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $4.01 / $5.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.65 / $6.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $6.74 / $17.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $3.26
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $4.87 / $7.53
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.09 / $152.19 / $152.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.11 / $3.88
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
$30.33 / $30.33 / $45.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $4.49 / $6.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.73 / $5.48 / $6.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $4.36 / $6.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.11 / $5.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.37 / $2.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.81 / $3.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $3.05 / $6.09