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Hawaii rates for HCPCS A4369

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.40 / $3.16
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $2.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $2.57 / $2.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.29 / $1.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $2.00 / $3.16