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Texas rates for HCPCS A4424

Ostomy pouch, drainable, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $4.30 / $4.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $4.37 / $5.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $3.99 / $3.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $7.35 / $18.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $3.17 / $3.55
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.11 / $5.32 / $8.22
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.65 / $6.65 / $6.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.40 / $4.23
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
$33.11 / $33.11 / $49.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $4.88 / $6.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $5.99 / $6.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $4.75 / $6.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.40 / $5.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $3.07 / $4.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.33 / $6.65