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Nebraska rates for HCPCS A4372

Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $5.66 / $5.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $6.46 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $6.46 / $9.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.44 / $5.87 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.98 / $2.92 / $4.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $6.46 / $8.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $7.63 / $12.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.92 / $3.73