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Iowa rates for HCPCS A4369

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.16 / $2.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $2.15 / $2.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $2.04 / $3.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $3.17 / $4.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $3.61 / $5.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.97 / $3.71 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.60 / $3.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.17 / $3.18 / $4.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $3.74 / $6.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.44 / $3.77
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.59 / $2.59 / $2.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.59 / $2.59