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Utah rates for HCPCS A4399

Ostomy irrigation supply; cone/catheter, with or without brush

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.69 / $4.69 / $4.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $7.77 / $42.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $10.29 / $12.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $10.29 / $19.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.72 / $10.68 / $14.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.10 / $10.19 / $15.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $7.27 / $8.53