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Nebraska rates for HCPCS A4383

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.61 / $32.61 / $32.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.61 / $32.61 / $43.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.60 / $38.07 / $38.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $43.32 / $43.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.24 / $45.75 / $66.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.81 / $39.38 / $184.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.30 / $19.64 / $32.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.20 / $43.32 / $54.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.47 / $50.61 / $85.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.84 / $19.64 / $25.74