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Texas rates for HCPCS A4407

Ostomy Skin Barrier With Flange (Solid Flexible Or Accordion) Extended Wear With Built-In Convexity 4 X 4 Inches Or Smaller Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.11 / $7.93 / $8.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.26 / $8.03 / $10.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $7.34 / $7.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.99 / $15.07 / $34.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $5.83 / $6.54
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $9.78 / $15.14
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.24 / $318.47 / $318.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $6.25 / $7.79
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
$60.96 / $60.96 / $91.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $9.00 / $12.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $11.02 / $12.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $8.76 / $12.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $6.25 / $10.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.12 / $4.76 / $5.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.33 / $5.65 / $7.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.13 / $6.13 / $12.24