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Utah rates for HCPCS A5055

Stoma cap

Facilitymedian $1 · 10th–90th $1$10%20%40%10th90th$1Professionalmedian $1 · 10th–90th $1$80%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 / $1.29 / $8.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.20 / $1.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.02 / $1.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $1.32 / $2.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $2.04
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $2.04
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.86 / $2.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $0.78 / $0.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.85 / $1.58