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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
$9.80 / $9.80 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $9.80 / $10.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $11.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $7.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $5.83 / $8.07
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $8.57 / $16.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $4.84 / $8.07