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Texas rates for HCPCS A4412

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), without filter, each

Facilitymedian $4 · 10th–90th $2$100%20%10th90th$4Professionalmedian $2 · 10th–90th $1$30%20%40%10th90th$2$0.0$0.2$2.0$20.0$200.0$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
$1.91 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $3.80 / $10.47
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $2.04
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $2.29
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
$19.05 / $28.18 / $28.18
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $3.47 / $5.62
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $2.00 / $3.63
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $81.28
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $3.24 / $5.62
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $2.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.51 / $2.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.74 / $2.29
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $3.89 / $3.89