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Utah rates for HCPCS A4371

Ostomy skin barrier, powder, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $3.02 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $3.09 / $3.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $3.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $3.63 / $4.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.55 / $5.37
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.25
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $5.13 / $6.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.95 / $2.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.14 / $3.09