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Texas rates for HCPCS A4369

Ostomy skin barrier, liquid (spray, brush, etc.), per oz

Facilitymedian $3 · 10th–90th $2$100%10%20%10th90th$3Professionalmedian $2 · 10th–90th $1$20%20%40%10th90th$2$0.0$0.2$2.0$20.0$200.0$2.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.14 / $17.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $2.24
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.09 / $2.24
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $3.55 / $9.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $1.82
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.75 / $3.80
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $3.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $2.04
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
$18.20 / $25.70 / $25.70
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $2.82 / $4.57
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $81.28
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $2.69 / $4.47
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $2.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.38 / $2.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.55 / $2.04
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $3.47 / $3.47