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Utah rates for HCPCS A4414

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 in or smaller, each

Facilitymedian $1 · 10th–90th $1–$40%50%90th$1Professionalmedian $5 · 10th–90th $1–$300%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 / $4.47 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $4.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $5.01 / $6.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $7.76
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.92 / $7.08
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $7.08 / $8.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.63 / $2.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.95 / $5.25