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Texas rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Facilitymedian $8 · 10th–90th $5$220%10%20%10th90th$8Professionalmedian $5 · 10th–90th $3$60%20%40%10th90th$5$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$3.98 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $6.31
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $7.76 / $21.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.27
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $4.79
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $85.11 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $60.26 / $60.26
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $8.13 / $12.02
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $7.76
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $2,754.23
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $8.13 / $12.02
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $4.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $3.39 / $5.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $3.80 / $5.37
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $8.13 / $8.13