go back

Maine rates for HCPCS A4369

Ostomy Skin Barrier Liquid (Spray Brush Etc) Per Oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.95 / $1.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.75 / $1.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $2.04 / $2.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.82 / $2.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $2.76 / $2.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.95 / $1.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.69 / $3.89