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Nevada rates for HCPCS A4390

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.52 / $11.52 / $11.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.05 / $11.52 / $11.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $13.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $6.86 / $9.49
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.81 / $9.39 / $17.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $5.69 / $9.49