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Texas rates for HCPCS A4434

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.62 / $3.40 / $3.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $3.45 / $4.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.77 / $3.00 / $3.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $3.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $3.62
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
$26.15 / $26.15 / $39.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $3.86 / $5.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $4.73 / $5.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $3.76 / $5.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.51 / $4.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.42 / $3.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $5.25