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Nebraska rates for HCPCS A4388

Ostomy Pouch Drainable With Extended Wear Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $5.05 / $5.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.05 / $5.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $5.88 / $5.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $6.70 / $6.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $6.70 / $10.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.61 / $6.09 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $3.04 / $5.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.68 / $6.70 / $8.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $7.83 / $13.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $2.78 / $3.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.92 / $3.99