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Ohio rates for HCPCS A4369

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.15 / $2.15 / $7.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $2.15 / $2.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.31 / $2.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.75 / $4.45
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $3.39 / $5.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $3.39 / $7.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $2.04 / $3.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $2.40
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $2.04 / $2.04
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.04 / $2.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $2.52 / $3.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.59 / $2.16