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Utah rates for HCPCS A4434

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $3.02 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $3.55 / $3.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $3.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $3.80 / $5.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.72 / $5.62
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.37
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $5.37 / $6.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $2.04 / $2.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.24 / $3.24