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Texas rates for HCPCS A4408

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.89 / $8.94 / $10.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.89 / $9.06 / $12.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.89 / $8.76 / $8.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.87 / $12.85 / $37.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.57 / $6.57 / $7.37
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.60 / $11.03 / $17.21
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.79 / $13.79 / $13.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $8.28 / $8.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $7.05 / $8.88
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
$68.67 / $68.67 / $103.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $10.15 / $13.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $12.41 / $13.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $9.86 / $13.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $7.05 / $11.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $6.36 / $8.39
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $6.91 / $13.79