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Texas rates for HCPCS A4414

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $4.51 / $5.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $4.51 / $6.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $4.37 / $4.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $7.61 / $19.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.27 / $3.27 / $3.67
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $5.50 / $8.51
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.87 / $361.20 / $361.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $3.51 / $4.44
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
$34.21 / $34.21 / $51.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $5.05 / $6.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $6.18 / $6.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $4.93 / $6.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $3.51 / $5.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $3.17 / $4.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $6.87