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Texas rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Facilitymedian $17 · 10th–90th $10$520%10%10th90th$17Professionalmedian $13 · 10th–90th $9$170%10%20%10th90th$13$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
$10.96 / $14.13 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $14.13 / $16.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $14.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $11.75
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $18.20 / $25.12
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $13.18
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $165.96 / $165.96
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $17.78 / $29.51
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $14.13 / $21.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $15.85
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $17.38 / $29.51
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $13.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $13.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $10.23 / $13.49
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $22.39 / $22.39