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Utah rates for HCPCS A4433

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.28 / $1.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $2.50 / $13.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $2.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.81 / $5.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $3.42 / $4.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.28 / $4.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $1.94 / $2.33