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New York rates for HCPCS A4369

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $1.65 / $3.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $1.65 / $3.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $2.25 / $14.58
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $2.83 / $2.83
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $2.83 / $2.83
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 / $2.40
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $7.63 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $2.44 / $6.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.44 / $2.47
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $2.77 / $2.77
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $2.04 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.04 / $4.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.69 / $3.05
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $2.44 / $2.44
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.44 / $2.44