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Texas rates for HCPCS A5051

Ostomy pouch, closed; with barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.86 / $2.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.89 / $2.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $1.65 / $1.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $2.88 / $2.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $2.00
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
$14.34 / $14.34 / $21.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $2.12 / $2.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $2.59 / $2.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $2.06 / $2.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $2.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.33 / $1.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $2.88