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Utah rates for HCPCS A4385

Ostomy Skin Barrier Solid 4x4 Or Equivalent Extended Wear Without Built-In Convexity Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.23 / $20.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $4.28 / $4.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $4.28 / $8.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $5.21 / $6.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.96 / $4.98 / $7.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.96 / $3.55