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Nebraska rates for HCPCS A4396

Ostomy belt with peristomal hernia support

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.08 / $46.08 / $46.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.83 / $46.83 / $47.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.25 / $45.25 / $45.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.71 / $54.68 / $55.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.97 / $62.22 / $62.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.97 / $62.22 / $95.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.48 / $56.56 / $265.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.87 / $28.22 / $47.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.02 / $62.22 / $78.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.95 / $72.67 / $122.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.87 / $28.22 / $36.96