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Nebraska rates for HCPCS A4367

Ostomy belt, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $7.94 / $42.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $10.00 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $6.61 / $11.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $12.02 / $17.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $14.45 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $5.13 / $10.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $14.13 / $25.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $11.48 / $11.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.79 / $25.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $4.68 / $6.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $4.90 / $7.76