go back

Nebraska rates for HCPCS A4368

Ostomy filter, any type, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.34 / $0.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.26 / $0.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.38 / $0.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.51 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.17 / $0.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.39 / $0.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.87 / $0.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.16 / $0.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.17 / $0.28