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Utah rates for HCPCS A4427

Ostomy pouch, drainable; for use on barrier with locking flange, with filter (two-piece system), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.06 / $1.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $2.08 / $11.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.34 / $4.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $2.85 / $3.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.73 / $4.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.65 / $1.65