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Utah rates for HCPCS A5054

Ostomy pouch, closed; for use on barrier with flange (two 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

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
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$2.00
Typical High
$10.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$1.51
Typical High
$1.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.82
Typical High
$2.88
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$1.78
Typical High
$2.82
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.51
Typical High
$2.57
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.57
Typical High
$3.09
United
Setting
Facility
Modifier
Global
Typical Low
$0.85
Median
$0.98
Typical High
$1.02
United
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$1.07
Typical High
$1.91