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Nebraska rates for HCPCS A4369

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $2.39 / $2.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.39 / $2.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.77 / $2.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $3.17 / $3.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $3.17 / $4.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $3.39 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.44 / $2.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.17 / $3.17 / $4.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $3.79 / $6.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.44 / $2.16