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Utah rates for HCPCS A4420

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.72 / $2.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.48 / $60.00