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Washington rates for HCPCS A4369

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $3.72 / $3.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.64 / $3.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $2.02 / $2.02
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.54 / $17.67
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
Facility
Modifier
Low / Median / High Price
$1.82 / $3.07 / $5.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $3.19 / $5.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.98 / $2.21 / $2.43
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $2.81 / $2.88
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.88 / $2.88
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $2.52 / $4.66
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.61 / $4.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.45 / $3.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.44 / $2.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.97 / $1.97