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Texas rates for HCPCS A4432

Ostomy pouch, urinary; for use on barrier with nonlocking flange, with faucet-type tap with valve (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $3.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.88 / $3.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $5.62 / $13.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.07 / $6.17
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $5.13 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $3.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $85.11 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $37.15 / $37.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $4.27 / $7.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $3.02 / $4.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $81.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $4.07 / $7.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $3.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $1.95 / $2.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $2.29 / $3.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.13