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Texas rates for HCPCS A4379

Ostomy pouch, urinary, with faceplate attached, plastic, each

Facilitymedian $16 · 10th–90th $10$560%20%10th90th$16Professionalmedian $13 · 10th–90th $9$170%20%10th90th$13$0.2$1.0$5.0$20.0$100.0$500.0$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
$10.47 / $12.88 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $16.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $13.49
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $11.75 / $11.75
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $158.49 / $158.49
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $17.38 / $30.90
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $20.42
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $81.28
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $16.98 / $30.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $11.75 / $11.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $8.51 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $9.77 / $12.88
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $21.38 / $21.38