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Utah rates for HCPCS A5093

Ostomy accessory; convex insert

Facilitymedian $2 · 10th–90th $1–$20%50%10th90th$2Professionalmedian $2 · 10th–90th $1–$120%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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $1.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $1.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $2.00 / $3.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $1.95 / $2.75
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.75 / $2.75
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.75 / $2.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $1.05 / $1.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $1.15 / $2.09