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North Dakota rates for HCPCS A4369

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.10 / $2.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $3.18 / $3.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.79 / $4.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $2.16 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.57 / $3.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.44 / $2.40