go back

Nebraska rates for HCPCS A4371

Ostomy skin barrier, powder, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.16 / $4.16 / $4.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $4.16 / $4.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $4.84 / $4.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.41 / $4.84 / $4.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $5.52 / $5.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $5.52 / $8.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.56 / $5.09 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.50 / $4.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.51 / $5.52 / $6.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $6.53 / $11.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.50 / $3.94