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Oregon rates for HCPCS A4369

Ostomy Skin Barrier Liquid (Spray Brush Etc) Per Oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $2.60 / $2.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $2.12 / $8.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $2.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $6.39 / $7.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.52 / $3.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.71 / $3.02
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $2.81 / $3.17
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $2.88 / $2.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.47 / $2.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.52 / $3.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $3.17 / $3.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.44 / $2.81