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Nebraska rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $5.89 / $5.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $7.12 / $7.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $6.87 / $6.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $7.83 / $7.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $7.83 / $12.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.65 / $7.12 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.55 / $6.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.80 / $7.83 / $9.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $9.14 / $15.48
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.07 / $54.07 / $54.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.55 / $5.58