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Texas rates for HCPCS A4395

Ostomy deodorant for use in ostomy pouch, solid, per tablet

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.04 / $0.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.04 / $0.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.04
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
$0.63 / $3.54 / $3.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.05 / $0.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.05 / $0.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.05 / $0.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.05