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Utah rates for HCPCS A4429

Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (one piece), each

Facilitymedian $3 · 10th–90th $3–$80%50%90th$3Professionalmedian $8 · 10th–90th $3–$500%10%10th90th$8$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 / $7.41 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $8.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $8.51 / $11.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $12.88
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $11.48 / $11.75
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $11.75 / $14.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $4.47 / $4.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.90 / $8.91