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Utah rates for HCPCS A4372

Ostomy Skin Barrier Solid 4x4 Or Equivalent Standard Wear With Built-Inconvexity Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.60 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $3.77 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.20 / $4.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.29 / $5.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $4.11 / $6.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.48 / $2.92