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Utah rates for HCPCS A4330

Perianal fecal collection pouch with adhesive, each

Facilitymedian $2 · 10th–90th $2–$20%50%100%$2Professionalmedian $6 · 10th–90th $2–$130%10%20%10th90th$6$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $6.03 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $6.92 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $6.03 / $6.92
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $10.23
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $8.71 / $11.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.27 / $6.31