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Utah rates for HCPCS A4407

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.83 / $35.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $7.35 / $14.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $8.94 / $11.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $8.57 / $12.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.72 / $4.76 / $5.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.96 / $5.19 / $6.10