go back

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
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $7.08 / $38.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $8.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $8.51 / $8.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.62 / $9.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $10.23 / $14.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $12.30 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $4.37 / $8.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $21.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $21.88 / $21.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $3.98 / $5.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $4.17 / $6.76