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Utah rates for HCPCS A4500

Surgical stockings below knee length, each

Facilitymedian $1 · 10th–90th $1–$50%50%90th$1Professionalmedian $2 · 10th–90th $1–$40%20%10th90th$2$1.0$2.0$5.0$10.0$20.0$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 / $2.00 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.14
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $22.39 / $44.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.57 / $6.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $8.51 / $10.23
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $3.16 / $3.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $2.14 / $3.31