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Missouri rates for HCPCS A4369

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $2.00 / $2.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.76 / $3.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.72 / $2.34
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 / $1.73 / $2.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $2.61 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.44 / $2.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.44 / $2.21