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Nebraska rates for HCPCS A4373

Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.25 / $7.25 / $7.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $7.25 / $7.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.43 / $8.43 / $8.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.70 / $8.46 / $8.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $9.64 / $9.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.26 / $9.64 / $14.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.63 / $8.76 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $4.37 / $7.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.59 / $9.64 / $12.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.90 / $11.25 / $19.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.08 / $4.37 / $5.73