go back

Utah rates for HCPCS A4373

Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $4.66 / $25.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $5.26 / $5.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.26 / $10.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $6.42 / $8.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $6.13 / $9.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $3.71 / $4.47