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Utah rates for HCPCS A4424

Ostomy Pouch Drainable With Barrier Attached With Filter (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $3.54 / $19.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $4.00 / $7.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.97 / $4.84 / $6.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $4.66 / $6.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.82 / $2.82