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Utah rates for HCPCS A4380

Ostomy Pouch Urinary With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.28 / $14.28 / $14.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.28 / $27.80 / $150.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.45 / $34.45 / $35.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $29.28 / $36.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.22 / $38.08 / $49.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.00 / $36.51 / $54.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $22.12 / $39.11