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Utah rates for HCPCS A4382

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

Facilitymedian $9 · 10th–90th $9–$210%50%90th$9Professionalmedian $25 · 10th–90th $9–$1480%10%10th90th$25$0.2$1.0$5.0$20.0$100.0

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
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $21.88 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $24.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $25.12 / $32.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $38.90
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $34.67 / $35.48
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $35.48 / $41.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $13.18 / $14.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $14.45 / $26.30