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Texas rates for HCPCS A4399

Ostomy irrigation supply; cone/catheter, with or without brush

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.27 / $9.44 / $10.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $9.57 / $14.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.31 / $17.80 / $41.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.78 / $7.78 / $7.78
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $11.66 / $18.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.57 / $14.57 / $14.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $10.29 / $12.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $8.75 / $12.72
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
$85.36 / $85.36 / $128.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.69 / $10.93 / $14.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.79 / $13.14 / $14.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.69 / $10.42 / $14.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $8.75 / $13.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.06 / $7.90 / $10.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.82 / $7.82 / $14.57