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Utah rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Facilitymedian $1 · 10th–90th $1–$40%50%90th$1Professionalmedian $5 · 10th–90th $2–$310%10%10th90th$5$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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.98 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $5.01
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $5.25 / $7.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $7.94
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $7.08 / $7.24
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $7.24 / $8.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $2.75 / $3.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $3.02 / $5.50