go back

Utah rates for HCPCS A4419

Ostomy Pouch Closed; For Use On Barrier With Non-Locking Flange With Filter (2 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $1.28 / $6.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $2.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.76 / $2.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.69 / $2.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.03 / $1.20