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Utah rates for HCPCS A4388

Ostomy Pouch Drainable With Extended Wear Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $3.25 / $17.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.66 / $7.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $4.46 / $5.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $4.26 / $6.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.37 / $2.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.59 / $3.04