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Texas rates for HCPCS A5062

Ostomy pouch, drainable; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.88 / $2.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $1.91 / $2.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $3.56 / $8.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.55 / $1.55
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.90 / $2.90 / $2.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.59 / $2.08
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
$17.67 / $18.38 / $23.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $2.19 / $2.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $2.61 / $2.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $2.09 / $2.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.59 / $2.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.43 / $1.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.55 / $2.90