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Nevada rates for HCPCS A4393

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.84 / $10.84 / $11.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $8.52 / $11.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.33 / $6.33 / $12.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $8.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $6.45 / $8.93
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $8.93 / $16.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $5.36 / $8.93