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Ostomy Belt

Texas rates for HCPCS A4367

Ostomy belt, each

Rates data updated July 2026.

Facilitymedian $9 · 10th–90th $5$260%10%20%10th90th$9Professionalmedian $6 · 10th–90th $4$80%20%10th90th$6$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$6.17
Typical High
$6.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$6.17
Typical High
$8.32
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$6.17
Typical High
$10.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$10.72
Typical High
$26.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$5.13
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.24
Typical High
$9.77
Christus
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$14.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$6.17
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$85.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$72.44
Typical High
$72.44
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$8.13
Typical High
$13.49
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.32
Typical High
$10.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$8.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$7.94
Typical High
$13.49
Providence
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$6.61
United
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$4.68
Typical High
$9.77
United
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.79
Typical High
$6.31
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$9.77
Typical High
$13.18