go back

Nevada rates for HCPCS A4387

Ostomy pouch, closed, with barrier attached, with built-in convexity (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.70 / $2.70 / $2.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $2.70 / $2.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.65 / $4.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.89 / $3.75
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.50 / $4.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.33 / $3.18