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Nevada rates for HCPCS A4392

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $7.08 / $10.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $6.03 / $8.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $6.92 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.89 / $7.08
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $11.75 / $20.42
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $11.75 / $11.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $4.37 / $4.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $6.17 / $9.55