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Arizona rates for HCPCS A4369

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $1.73 / $2.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $2.75 / $4.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.54 / $3.42
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 / $1.73 / $2.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $2.06 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.44 / $2.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.44 / $2.16