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Utah rates for HCPCS A4381

Ostomy pouch, urinary, for use on faceplate, plastic, each

Facilitymedian $1 · 10th–90th $1$40%50%90th$1Professionalmedian $5 · 10th–90th $1$280%10%20%10th90th$5$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
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$3.98
Typical High
$28.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$3.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$4.57
Molina
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$4.68
Typical High
$6.31
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$7.24
Select Health
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$6.46
Typical High
$6.61
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$6.61
Typical High
$7.94
United
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$2.51
Typical High
$2.75
United
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.75
Typical High
$4.90