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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
$1.40 / $1.40 / $1.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $2.68 / $14.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.06 / $6.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $3.66 / $4.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $3.51 / $5.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.16 / $2.16