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Texas rates for HCPCS A4423

Ostomy Pouch Closed; For Use On Barrier With Locking Flange With Filter (2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.68 / $1.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.70 / $2.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.48 / $1.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.24 / $1.38
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $2.06 / $3.21
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.59 / $2.59 / $2.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $1.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.66
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
$12.90 / $12.90 / $19.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $1.91 / $2.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $2.33 / $2.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $1.86 / $2.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $2.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.20 / $1.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $2.59