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Utah rates for HCPCS A4330

Perianal Fecal Collection Pouch With Adhesive Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.74 / $2.74 / $2.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $6.01 / $27.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.11 / $5.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $6.92 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $5.96 / $5.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $4.24 / $6.38