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Texas rates for HCPCS A4431

Ostomy Pouch Urinary; With Barrier Attached Withfaucet-Type Tap With Valve (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.33 / $5.62 / $6.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.33 / $5.70 / $7.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $4.96 / $5.55
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.67 / $8.67 / $8.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $5.59 / $5.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $4.75 / $5.76
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
$43.18 / $43.18 / $65.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $6.38 / $8.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.31 / $7.80 / $8.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $6.22 / $8.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $5.59 / $7.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $3.95 / $5.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $8.67