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Utah rates for HCPCS A4381

Ostomy Pouch Urinary For Use On Faceplate Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $1.76 / $1.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $3.44 / $18.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $3.88 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.88 / $7.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $4.73 / $6.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $4.51 / $6.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.74 / $3.22