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Texas rates for HCPCS A4430

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $7.71 / $8.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $7.82 / $10.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.27 / $6.80 / $7.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.67 / $5.67 / $6.36
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $9.52 / $14.70
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.90 / $11.90 / $11.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $6.08 / $7.57
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
$59.26 / $59.26 / $89.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $8.75 / $11.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $10.71 / $11.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $8.52 / $11.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $6.08 / $9.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $5.49 / $7.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $5.96 / $11.90