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Texas rates for HCPCS A4398

Ostomy irrigation supply; bag, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $10.86 / $12.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.10 / $11.01 / $16.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.58 / $15.61 / $45.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $8.94 / $8.94
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.46 / $13.41 / $20.73
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.76 / $16.76 / $16.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.99 / $11.60 / $14.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $13.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.11 / $91.72 / $91.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.58 / $95.58 / $144.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.28 / $12.59 / $17.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.52 / $15.92 / $19.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.28 / $12.00 / $17.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $16.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $8.90 / $11.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.67 / $9.67 / $16.76