go back

Texas rates for HCPCS A5056

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $4.23 / $4.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.56 / $4.29 / $5.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $4.13 / $6.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.88 / $8.03 / $18.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.11 / $3.49
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.90 / $8.15
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.53 / $97.24 / $97.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $3.93 / $4.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.34 / $4.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.52 / $32.52 / $48.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $5.60 / $6.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $5.88 / $6.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $4.90 / $6.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.34 / $5.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.01 / $4.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $3.28 / $6.53