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Texas rates for HCPCS A4357

Bedside drainage bag, day or night, with or without antireflux device, with or without tube, each

Facilitymedian $11 · 10th–90th $6–$310%10%10th90th$11Professionalmedian $7 · 10th–90th $5–$100%20%10th90th$7$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $7.94 / $12.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $7.08 / $10.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.59 / $11.48
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $13.18 / $32.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $6.17
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $9.77 / $12.88
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $8.13 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $8.13
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $85.11 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $102.33 / $102.33
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $10.00 / $17.38
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $7.08 / $13.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $8.71
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $8.71
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $10.00 / $17.78
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $8.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $5.62 / $8.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.31 / $8.32
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $11.75 / $11.75