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Nebraska rates for HCPCS A4384

Ostomy faceplate equivalent, silicone ring, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.12 / $11.12 / $11.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.12 / $11.12 / $14.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $12.98 / $13.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $14.76 / $14.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $14.76 / $22.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.17 / $13.42 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $6.70 / $11.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $14.76 / $18.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.11 / $17.25 / $29.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $6.12 / $8.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.72 / $6.70 / $8.77