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Utah rates for HCPCS A4379

Ostomy pouch, urinary, with faceplate attached, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $11.18 / $60.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $14.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $11.82 / $14.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.56 / $15.32 / $19.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.67 / $14.69 / $22.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $8.90 / $10.45