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Nebraska rates for HCPCS A4398

Ostomy irrigation supply; bag, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.99 / $15.99 / $15.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.99 / $15.99 / $16.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.96 / $18.67 / $18.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.60 / $21.24 / $21.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.60 / $21.24 / $32.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.67 / $19.30 / $89.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $9.64 / $16.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $21.24 / $26.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $24.81 / $41.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $9.64 / $12.61