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Texas rates for HCPCS A4418

Ostomy pouch, closed; without barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.27 / $1.64 / $1.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.67 / $2.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.44 / $1.62
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $2.52 / $2.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.74
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
$12.60 / $12.60 / $18.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $1.86 / $2.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.27 / $2.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $1.81 / $2.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.69 / $2.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $1.17 / $1.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.27 / $2.52