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Texas rates for HCPCS A4394

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fl oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $2.35 / $63.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $2.38 / $3.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $2.29 / $2.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $4.00 / $10.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.93
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.90 / $4.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.62 / $40.38 / $40.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $2.29
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
$18.03 / $18.03 / $27.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $2.66 / $3.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $3.26 / $3.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $2.58 / $3.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $3.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.67 / $2.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $3.62