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Texas rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.56 / $1.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.58 / $2.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.54 / $1.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.39 / $1.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.29 / $1.29
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.93 / $2.99
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.41 / $265.86 / $265.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.45
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
$12.00 / $12.00 / $18.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $1.77 / $2.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $2.22 / $2.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $1.74 / $2.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $2.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.12 / $1.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $2.41