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Texas rates for HCPCS A4388

Ostomy pouch, drainable, with extended wear barrier attached, (one piece), each

Facilitymedian $6 · 10th–90th $3$180%20%10th90th$6Professionalmedian $3 · 10th–90th $2$50%20%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
$3.02 / $3.02 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.47 / $5.01
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $6.92 / $16.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $2.88 / $3.24
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $5.01 / $7.59
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $151.36 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.63
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
$30.90 / $45.71 / $45.71
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $5.01 / $8.71
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.98 / $6.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $81.28
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $4.90 / $8.51
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.45 / $3.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.82 / $3.72
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $6.17 / $6.17