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Texas rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Facilitymedian $7 · 10th–90th $4$200%10%20%10th90th$7Professionalmedian $4 · 10th–90th $3$60%20%10th90th$4$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $3.98 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $6.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.37 / $7.24
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $7.41 / $19.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $3.80
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.75 / $8.71
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $245.47 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $4.27
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
$36.31 / $53.70 / $53.70
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $5.89 / $10.23
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $6.92
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $81.28
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $2.82
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $5.75 / $10.00
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $4.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.88 / $4.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.31 / $4.37
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24