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Texas rates for HCPCS A4411

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $3.98 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $6.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.68 / $7.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $7.08 / $19.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.39
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.27 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $4.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $85.11 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $53.70 / $53.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $7.24 / $11.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $7.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $3.72 / $81.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $6.17 / $10.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $4.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $2.75 / $3.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $3.31 / $4.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24