go back

Texas rates for HCPCS A4409

Ostomy Skin Barrier With Flange (Solid Flexible Or Accordion) Extended Wear Without Built-In Convexity 4 X 4 Inches Or Smaller Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.33 / $5.62 / $6.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $5.70 / $7.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $5.52 / $8.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.55 / $9.75 / $24.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.63 / $4.63
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $6.94 / $10.74
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.67 / $152.00 / $152.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $5.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.44 / $5.53
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
$43.18 / $43.18 / $65.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $6.38 / $8.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.31 / $7.80 / $8.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $6.22 / $8.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.44 / $7.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $4.01 / $5.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $8.67