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Utah rates for HCPCS A5052

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

Facilitymedian $1 · 10th–90th $1–$10%20%40%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%20%10th90th$1$1.0$2.0$5.0$10.0$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
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $1.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.48
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.51 / $2.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.48 / $2.34
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.14
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $2.14 / $2.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.79 / $0.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.87 / $1.74