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Texas rates for HCPCS A5061

Ostomy pouch, drainable; with barrier attached, (one piece), each

Facilitymedian $5 · 10th–90th $3$140%10%10th90th$5Professionalmedian $3 · 10th–90th $2$40%20%40%10th90th$3$0.1$0.2$1.0$5.0$20.0$100.0

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
$2.45 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.98
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $3.02 / $3.55
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $5.62 / $13.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $2.63
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.07 / $6.03
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $87.10 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $2.95
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
$25.12 / $37.15 / $37.15
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $4.07 / $7.08
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $4.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $4.47
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $3.98 / $6.92
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $2.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $2.00 / $3.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $2.29 / $3.02
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $5.01 / $5.01