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Texas rates for HCPCS A4400

Ostomy Irrigation Set (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.08 / $44.24 / $50.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.58 / $44.84 / $58.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.92 / $39.00 / $43.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.50 / $36.47 / $36.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.28 / $68.28 / $68.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.64 / $41.02 / $41.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.86 / $34.86 / $41.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.61 / $305.60 / $324.33
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.48 / $375.26 / $435.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.69 / $50.22 / $68.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.05 / $58.04 / $68.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.69 / $48.87 / $68.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.86 / $34.86 / $54.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.13 / $31.49 / $41.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.08 / $29.08 / $68.28