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Utah rates for HCPCS A4414

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $3.66 / $19.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.13 / $7.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $5.01 / $6.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $4.80 / $7.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.92 / $3.50