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Nebraska rates for HCPCS A4399

Ostomy irrigation supply; cone/catheter, with or without brush

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.07 / $12.07 / $12.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.07 / $12.07 / $12.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.81 / $14.09 / $14.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $16.03 / $16.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.29 / $16.03 / $24.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.58 / $15.99 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.55 / $7.27 / $12.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.99 / $16.03 / $20.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.50 / $19.21 / $33.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.47 / $7.27 / $11.19