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Utah rates for HCPCS A4432

Ostomy pouch, urinary; for use on barrier with nonlocking flange, with faucet-type tap with valve (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.37 / $1.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $2.67 / $14.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $3.01 / $5.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $3.66 / $4.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $3.51 / $5.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.12 / $2.50