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Texas rates for HCPCS A5052

Ostomy Pouch Closed; Without Barrier Attached (1 Piece) Each (Updated 01-01-2003) 0)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.35 / $1.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.37 / $1.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.19 / $1.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $1.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $1.25
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
$14.13 / $14.70 / $15.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $1.53 / $2.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.87 / $2.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $1.49 / $2.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $1.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.96 / $1.27
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.04 / $2.08