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Virginia rates for HCPCS A4369

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $2.09 / $2.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.72 / $2.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.31
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.39 / $4.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $2.25 / $3.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $4.46 / $5.65
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $2.68 / $4.66
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $2.65 / $4.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.69 / $2.42