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Texas rates for HCPCS A4433

Ostomy pouch, urinary; for use on barrier with locking flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $3.03 / $3.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.08 / $4.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $2.81 / $2.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $2.67 / $2.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.23 / $2.50
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $3.75 / $5.79
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.69 / $4.69 / $4.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $3.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.39 / $2.98
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
$23.36 / $23.36 / $35.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $3.44 / $4.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $4.22 / $4.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $3.34 / $4.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.39 / $3.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.15 / $2.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.34 / $4.69