go back

Pennsylvania rates for HCPCS A4369

Ostomy Skin Barrier Liquid (Spray Brush Etc) Per Oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $1.66 / $2.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $2.00 / $2.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $3.39 / $3.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $3.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $2.40
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $3.12 / $4.59
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.29 / $2.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $1.66 / $2.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.97 / $2.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.80 / $6.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $3.97
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $3.75
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $3.23 / $3.23
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $3.23 / $3.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.69 / $3.05