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Vermont rates for HCPCS A4369

Ostomy Skin Barrier Liquid (Spray Brush Etc) Per Oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $2.29 / $2.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $2.75 / $2.75
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 / $1.80 / $2.10
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $2.04 / $2.04
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.92 / $2.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $2.06 / $3.91