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Nevada rates for HCPCS A4377

Ostomy pouch, drainable, for use on faceplate, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.16 / $4.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $5.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.09 / $4.27
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $6.17 / $10.72
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.17 / $6.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $2.29 / $2.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.24 / $5.50