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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 Inches 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