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Texas rates for HCPCS A4420

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.44 / $4.44 / $4.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.44 / $4.44
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.72 / $2.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $90.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.95 / $1.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $1.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $2.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $2.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.72 / $2.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75