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Utah rates for HCPCS A5062

Ostomy Pouch Drainable; Without Barrier Attached (1 Piece) Each(Updated 01-01-2003) 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.65 / $8.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.87 / $3.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.29 / $3.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.18 / $3.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.32 / $1.89