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Utah rates for HCPCS A4369

Ostomy Skin Barrier Liquid (Spray Brush Etc) Per Oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $0.93 / $0.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $1.54 / $8.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.04 / $3.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $2.11 / $2.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $2.02 / $3.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.44 / $1.69