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Alaska rates for HCPCS A4369

Ostomy skin barrier, liquid (spray, brush, etc.), per oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.39 / $2.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.04 / $2.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $0.93 / $0.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.74 / $3.77
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $2.52 / $2.52
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.45 / $5.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $0.93 / $2.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $2.09 / $3.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.25 / $2.40