go back

Utah rates for HCPCS A4408

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $3.78 / $3.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $7.35 / $39.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $8.28 / $8.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $8.28 / $16.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.25 / $10.07 / $13.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.67 / $9.65 / $14.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $5.85 / $6.87