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Utah rates for HCPCS A4369

Ostomy skin barrier, liquid (spray, brush, etc.), per oz

Facilitymedian $1 · 10th–90th $1–$20%20%40%10th90th$1Professionalmedian $2 · 10th–90th $1–$130%20%10th90th$2$0.0$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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $12.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $2.40
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $2.09 / $32.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $3.24
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $2.88 / $3.47
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.95 / $3.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.29 / $1.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.45 / $2.45