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Nebraska rates for HCPCS A4395

Ostomy deodorant for use in ostomy pouch, solid, per tablet

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.06 / $0.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.06 / $0.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.05 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.07 / $0.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.04