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Utah rates for HCPCS A4406

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $5.01 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $5.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.89 / $7.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.75 / $8.51
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $7.94 / $8.13
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $8.13 / $9.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $3.09 / $3.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $3.39 / $4.90