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Montana rates for HCPCS A4369

Ostomy Skin Barrier Liquid (Spray Brush Etc) Per Oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $8.33 / $8.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $2.81 / $2.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $3.02 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $3.02 / $3.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $2.88 / $3.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.31 / $3.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.44 / $1.65