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Minnesota rates for HCPCS A4369

Ostomy Skin Barrier Liquid (Spray Brush Etc) Per Oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.16 / $2.16 / $2.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $2.16 / $2.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $3.61 / $4.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $3.29 / $3.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $10.35 / $28.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.98 / $4.76
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $9.83 / $22.63
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.75 / $4.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $3.39 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.61 / $6.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.44 / $4.51