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Texas rates for HCPCS A4433

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

Facilitymedian $4 · 10th–90th $2$100%10%20%10th90th$4Professionalmedian $3 · 10th–90th $2$40%20%10th90th$3$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
$2.34 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.51
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $3.80 / $5.25
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.82
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
$23.99 / $35.48 / $35.48
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $3.89 / $6.92
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $4.57
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $81.28
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $3.72 / $6.61
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $1.91 / $2.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.14 / $2.82
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $4.79 / $4.79