go back

Georgia rates for HCPCS A4369

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.15 / $2.15 / $2.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $2.15 / $2.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $3.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $2.82 / $7.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $5.25 / $13.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.88 / $2.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $3.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $3.39 / $6.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.62 / $2.84