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Nebraska rates for HCPCS A4394

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fl oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $3.02 / $15.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.47 / $3.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.47 / $3.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.29 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $4.17 / $6.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $5.13 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.82 / $3.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $9.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $9.12 / $9.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.62 / $2.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.74 / $2.75