go back

Texas rates for HCPCS A5053

Ostomy pouch, closed; for use on faceplate, each

Facilitymedian $2 · 10th–90th $1$50%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1$20%50%90th$1$0.0$0.1$0.5$2.0$10.0$50.0

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
$1.00 / $1.00 / $1.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.70
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $1.20 / $1.45
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $1.23
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.15 / $1.15
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
$14.79 / $17.38 / $17.38
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.95 / $3.31
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.34
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $1.55
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $1.91 / $3.24
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.15 / $1.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $0.98 / $1.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $1.12 / $1.48
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $2.34 / $2.34