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Texas rates for HCPCS A4399

Ostomy irrigation supply; cone/catheter, with or without brush

Facilitymedian $12 · 10th–90th $7$390%10%10th90th$12Professionalmedian $9 · 10th–90th $6$130%10%20%10th90th$9$0.1$0.5$2.0$10.0$50.0

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
$7.24 / $8.91 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $8.91 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $9.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $7.76
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $12.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $10.23
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
$87.10 / $128.82 / $128.82
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $12.88 / $22.91
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $15.49
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $9.33
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $12.59 / $22.39
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $10.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $6.92 / $10.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $10.47
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $14.79 / $14.79