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Texas rates for HCPCS A5054

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

Facilitymedian $2 · 10th–90th $1$70%10%10th90th$2Professionalmedian $1 · 10th–90th $1$20%50%10th90th$1$0.0$0.1$0.5$2.0$10.0$50.0$200.0

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 / $1.26
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
$1.45 / $1.45 / $1.45
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $3.02 / $6.92
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.20 / $1.35
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $263.03 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.51
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
$12.88 / $18.62 / $18.62
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $2.04 / $3.55
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.57
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $2.19
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $2.00 / $3.55
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $1.00 / $1.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $1.15 / $1.51
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $2.57 / $2.57