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Nebraska rates for HCPCS A4393

Ostomy Pouch Urinary With Extended Wear Barrier Attached With Built-In Convexity (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.46 / $10.46 / $10.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.46 / $10.46 / $10.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $12.21 / $12.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $13.89 / $13.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $13.89 / $21.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.57 / $12.66 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $6.30 / $10.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.85 / $13.89 / $17.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.38 / $16.23 / $27.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $6.30 / $8.25