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Utah rates for HCPCS A5112

Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each

Facilitymedian $13 · 10th–90th $13–$290%50%90th$13Professionalmedian $30 · 10th–90th $14–$2090%10%10th90th$30$0.5$2.0$10.0$50.0$200.0

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
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $25.70 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $36.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $34.67 / $46.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $53.70
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $47.86 / $48.98
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $47.86 / $58.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $18.62 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $20.42 / $36.31