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Texas rates for HCPCS A4415

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.18 / $5.50 / $6.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $5.50 / $7.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $10.23 / $23.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $3.99 / $4.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.38 / $8.38 / $8.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.54 / $5.03 / $5.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.33
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
$41.73 / $41.73 / $62.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $6.16 / $8.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $7.54 / $8.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $6.00 / $8.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $6.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $3.86 / $5.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.20 / $8.38