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Texas rates for HCPCS A4435

Ostomy Pouch Drainable High Output With Extended Wear Barrier(One-Piece System) With Or Without Filter Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $5.22 / $5.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $5.29 / $7.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $7.97 / $22.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $4.30 / $4.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.05 / $8.05 / $8.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $5.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $40.09 / $60.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $6.84 / $8.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.41 / $8.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $5.95 / $8.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $6.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $3.76 / $5.32
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.16 / $8.05