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Nebraska rates for HCPCS A4380

Ostomy Pouch Urinary With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.20 / $43.20 / $43.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.20 / $43.20 / $57.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $50.43 / $50.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.45 / $57.38 / $57.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.45 / $57.38 / $88.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.47 / $52.16 / $245.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $26.02 / $43.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.22 / $57.38 / $72.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.99 / $67.03 / $113.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.32 / $26.02 / $34.09