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Texas rates for HCPCS A4405

Ostomy skin barrier, nonpectin-based, paste, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $3.09 / $3.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $3.14 / $4.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $2.86 / $3.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.71 / $5.36 / $13.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.54
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.82 / $5.90
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $3.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $3.03
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
$26.50 / $27.56 / $35.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $3.51 / $4.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $4.29 / $4.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $3.40 / $4.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $3.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.20 / $2.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.38 / $4.76