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Utah rates for HCPCS A5056

Ostomy pouch, drainable, with extended wear barrier attached, with filter, (one piece), each

Facilitymedian $2 · 10th–90th $2–$40%50%90th$2Professionalmedian $4 · 10th–90th $2–$280%10%20%10th90th$4$0.1$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
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $4.57
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.79 / $6.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $7.41
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $6.61
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.61 / $7.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.51 / $3.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.75 / $5.37