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Texas rates for HCPCS A4393

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (one piece), each

Facilitymedian $11 · 10th–90th $6$350%10%20%10th90th$11Professionalmedian $7 · 10th–90th $5$100%20%10th90th$7$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
$2.69 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.94 / $10.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $12.59 / $34.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.76
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $10.23 / $15.49
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $7.59
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
$64.57 / $95.50 / $95.50
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $10.47 / $18.20
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.94 / $12.30
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $81.28
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $10.23 / $17.78
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $7.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $5.13 / $7.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $5.89 / $7.76
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $12.88 / $12.88