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Utah rates for HCPCS A4372

Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each

Facilitymedian $1 · 10th–90th $1–$40%50%90th$1Professionalmedian $4 · 10th–90th $1–$70%10%10th90th$4$0.1$0.2$1.0$5.0$20.0

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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.02 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.24 / $3.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.27 / $5.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $6.61
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.89 / $6.03
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $6.03 / $7.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.24 / $2.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.45 / $4.47