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Utah rates for HCPCS A4394

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fl oz

Facilitymedian $2 · 10th–90th $1–$20%20%40%10th90th$2Professionalmedian $3 · 10th–90th $1–$160%10%20%10th90th$3$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 / $2.34 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $2.57
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.63 / $3.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $4.07
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.63 / $3.72
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $3.72 / $4.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $1.38 / $1.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.55 / $2.75