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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
$42.66 / $42.66 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $42.66 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $50.12 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $60.26 / $89.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $74.13 / $245.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $26.30 / $52.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $131.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $131.83 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $23.99 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $25.12 / $39.81