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Michigan rates for HCPCS A4369

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $2.58 / $2.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $2.58 / $2.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $10.22 / $18.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.39 / $4.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.20 / $2.20 / $2.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $2.71 / $2.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.04 / $2.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.44 / $2.58 / $15.35
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.58 / $4.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.14 / $2.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.59 / $2.40