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Utah rates for HCPCS A4405

Ostomy skin barrier, nonpectin-based, paste, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.48 / $13.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $3.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.86 / $5.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $3.48 / $4.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.34 / $5.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $2.02 / $2.38