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Texas rates for HCPCS A4372

Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each

Facilitymedian $4 · 10th–90th $3$120%10%20%10th90th$4Professionalmedian $3 · 10th–90th $2$40%20%40%10th90th$3$0.1$0.5$5.0$50.0$500.0

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
$2.95 / $3.02 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $4.27
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $3.09 / $3.72
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $3.16
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.24 / $3.24
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
$29.51 / $43.65 / $43.65
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $4.79 / $8.32
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.02 / $5.75
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $81.28
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $4.68 / $8.32
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.24 / $3.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $2.34 / $3.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.69 / $3.55
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $6.03 / $6.03