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Ostomy Irrigation Set

Utah rates for HCPCS A4400

Ostomy irrigation set

Rates data updated July 2026.

Facilitymedian $19 · 10th–90th $19$410%50%90th$19Professionalmedian $47 · 10th–90th $19$2950%10%10th90th$47$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$44.67
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$46.77
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$46.77
Typical High
$61.66
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$45.71
Typical High
$69.18
Select Health
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Select Health
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$64.57
Typical High
$69.18
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$66.07
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$26.30
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$28.18
Typical High
$43.65