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Oklahoma rates for HCPCS A4369

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

Facilitymedian $3 · 10th–90th $2–$30%50%10th$3Professionalmedian $2 · 10th–90th $1–$30%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
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $2.04
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.04
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $2.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.95 / $2.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.91 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $3.16
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.34 / $10.47
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.58 / $4.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.51 / $2.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.45 / $2.04