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Indiana rates for HCPCS A4369

Ostomy Skin Barrier Liquid (Spray Brush Etc) Per Oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.91 / $2.91 / $3.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $2.10 / $2.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.72 / $1.72 / $3.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.72 / $2.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $3.73 / $5.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $3.73 / $4.58
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 / $2.04 / $3.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.62 / $2.24