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Montana rates for HCPCS A4369

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

Facilitymedian $3 · 10th–90th $2–$40%20%40%10th90th$3Professionalmedian $2 · 10th–90th $1–$40%20%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $2.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $3.02 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $3.02 / $3.02
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.82 / $5.50
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.82 / $5.50
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $2.69 / $3.98
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.02 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.29 / $1.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.45 / $1.95