go back

Texas rates for HCPCS A5072

Ostomy pouch, urinary; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $3.12 / $3.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $3.16 / $4.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $2.74 / $3.06
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $4.80 / $4.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.43 / $2.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.26 / $24.84 / $37.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $3.57 / $4.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $4.16 / $4.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $3.43 / $4.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.43 / $3.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $2.27 / $2.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.46 / $4.80