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Texas rates for HCPCS A5056

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

Facilitymedian $7 · 10th–90th $4$190%10%10th90th$7Professionalmedian $4 · 10th–90th $3$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
$3.24 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $5.01
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.17 / $6.61
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $7.59 / $18.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.47
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $5.37 / $7.41
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $97.72 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $3.89
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
$33.11 / $48.98 / $48.98
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $6.46 / $9.77
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $6.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $81.28
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $6.61 / $9.77
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $4.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.75 / $4.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.02 / $4.27
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $6.61 / $6.61