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Utah rates for HCPCS A4408

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 in, each

Facilitymedian $3 · 10th–90th $3–$80%50%90th$3Professionalmedian $10 · 10th–90th $3–$600%10%10th90th$10$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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $8.91 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $9.77
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $10.00 / $13.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $15.49
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $13.80 / $14.13
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $14.13 / $16.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $5.37 / $5.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $5.89 / $10.47