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Utah rates for HCPCS A4481

Tracheostoma filter, any type, any size, each

Facilitymedian $0 · 10th–90th $0–$00%20%40%10th90th$0Professionalmedian $1 · 10th–90th $0–$20%20%10th90th$1$0.2$1.0$5.0$20.0

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
$2.24 / $2.24 / $2.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.31 / $0.31 / $0.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.26 / $0.37
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.25 / $0.37 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.36 / $0.56
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $0.51 / $0.52
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.52 / $0.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.18 / $0.20 / $0.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.22 / $0.39