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Utah rates for HCPCS A5072

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

Facilitymedian $1 · 10th–90th $1–$30%50%90th$1Professionalmedian $3 · 10th–90th $1–$210%20%10th90th$3$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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.02 / $21.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $2.88 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.45 / $2.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.09 / $4.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.09 / $4.79
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $4.27 / $4.37
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.37 / $5.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $1.91 / $2.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $2.09 / $3.63