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Texas rates for HCPCS A4424

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

Facilitymedian $6 · 10th–90th $3$180%10%20%10th90th$6Professionalmedian $4 · 10th–90th $2$50%20%10th90th$4$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
$1.62 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $5.01
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $4.07
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $7.59 / $18.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.55
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.37 / $7.41
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $4.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $3.98
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
$33.88 / $50.12 / $50.12
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $5.50 / $9.77
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $3.98 / $6.46
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $81.28
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $5.37 / $9.55
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $4.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.69 / $4.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $3.09 / $4.07
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $6.76 / $6.76