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Texas rates for HCPCS A4423

Ostomy pouch, closed; for use on barrier with locking flange, with filter (two piece), each

Facilitymedian $2 · 10th–90th $1$50%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1$20%50%10th90th$1$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
$1.00 / $1.00 / $1.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $1.70
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $1.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $1.38
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $2.09 / $3.24
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $1.55 / $1.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $1.55
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
$13.18 / $19.50 / $19.50
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $2.19 / $3.89
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.63
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.45 / $81.28
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $2.09 / $3.72
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $1.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.83 / $1.05 / $1.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $1.20 / $1.58
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $2.63 / $2.63