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Utah rates for HCPCS A4358

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each

Facilitymedian $2 · 10th–90th $2–$60%50%90th$2Professionalmedian $8 · 10th–90th $3–$400%10%10th90th$8$0.1$0.5$2.0$10.0$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 / $10.00 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $6.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $6.61 / $32.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $6.46 / $9.33
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $9.12 / $9.55
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $9.33 / $9.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $3.55 / $4.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.89 / $7.08