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Idaho 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 / $3.91 / $3.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $2.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $2.02 / $3.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.74 / $2.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.07 / $2.88 / $5.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $3.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.37 / $2.06