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Texas rates for HCPCS A5071

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.19 / $5.51 / $6.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $5.51 / $7.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.42 / $4.80 / $5.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.48 / $4.48 / $4.48
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.40 / $8.40 / $8.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $5.04 / $5.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.34
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
$41.83 / $41.83 / $63.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $6.17 / $8.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $7.56 / $8.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $6.01 / $8.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $6.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $3.79 / $5.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $4.03 / $8.40