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Utah rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Facilitymedian $6 · 10th–90th $6–$130%50%90th$6Professionalmedian $16 · 10th–90th $6–$950%10%10th90th$16$0.2$1.0$5.0$20.0$100.0

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
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $14.13 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $16.22
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $16.22 / $21.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $15.85 / $22.39
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $22.39 / $22.39
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $22.39 / $22.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $8.51 / $9.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $9.33 / $14.79