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Nebraska rates for HCPCS A4379

Ostomy pouch, urinary, with faceplate attached, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.37 / $17.37 / $17.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.37 / $17.37 / $23.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $20.28 / $20.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $23.08 / $23.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $23.08 / $35.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.88 / $20.98 / $98.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.09 / $10.47 / $17.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.01 / $23.08 / $29.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.89 / $26.96 / $45.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $10.28 / $13.71