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Utah rates for HCPCS A4394

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fl oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.93 / $10.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.18 / $4.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.64 / $3.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.52 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.54 / $1.54