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California rates for HCPCS A4369

Ostomy Skin Barrier Liquid (Spray Brush Etc) Per Oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $0.99 / $8.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $1.48 / $8.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.51 / $4.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.72 / $3.66
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.03 / $3.93 / $6.08
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $6.21 / $10.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $2.14
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.88 / $3.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.02 / $4.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.67 / $18.38 / $25.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.18 / $10.18 / $10.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $2.58 / $3.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.04 / $2.75
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.44 / $5.44 / $5.44
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.21 / $2.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.44 / $2.74