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Nebraska rates for HCPCS A4378

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.57 / $35.57 / $35.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.57 / $35.57 / $35.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.75 / $41.53 / $41.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $47.26 / $47.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.81 / $47.26 / $72.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.51 / $42.96 / $201.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.50 / $21.43 / $35.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.12 / $47.26 / $59.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.71 / $55.20 / $93.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.29 / $21.43 / $28.58