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Nevada rates for HCPCS A4389

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.45 / $7.45 / $7.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $5.86 / $7.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $8.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $5.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.44 / $6.14
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.83 / $6.50 / $12.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $3.68 / $6.14