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Utah rates for HCPCS A4418

Ostomy pouch, closed; without barrier attached, with filter (one piece), each

Facilitymedian $1 · 10th–90th $1–$20%20%40%10th90th$1Professionalmedian $2 · 10th–90th $1–$110%20%10th90th$2$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 / $2.00 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $1.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.45 / $1.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.86 / $2.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $2.82
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.51 / $2.57
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.57 / $3.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.98 / $1.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $1.07 / $1.95