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Utah rates for HCPCS A4368

Ostomy filter, any type, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.26 / $32.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.25 / $0.38
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.36
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.36 / $0.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.14 / $0.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.15 / $0.22