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Texas rates for HCPCS A5061

Pouch Drainable; With Barrier Attached (1 Piece) (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $3.20 / $3.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $3.24 / $4.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $3.14 / $3.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $5.21 / $13.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $2.64 / $2.64
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $3.95 / $6.09
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.94 / $86.40 / $86.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.87 / $2.97 / $3.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $3.14
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
$24.60 / $24.60 / $37.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $3.63 / $4.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.45 / $4.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $3.52 / $4.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $4.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $2.27 / $2.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.38 / $4.94