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Utah rates for HCPCS A5093

Ostomy accessory; convex insert

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $1.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $2.00 / $3.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.95 / $2.57
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.75 / $2.75
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.75 / $2.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $1.05 / $1.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.15 / $1.66