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Nebraska rates for HCPCS A4376

Ostomy pouch, drainable, with faceplate attached, rubber, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.04 / $55.04 / $55.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.04 / $55.04 / $73.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.43 / $64.26 / $64.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $73.13 / $73.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.94 / $73.13 / $112.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.33 / $66.48 / $312.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.45 / $33.17 / $55.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.91 / $73.13 / $92.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.89 / $85.41 / $144.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.36 / $33.17 / $43.44