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Nebraska rates for HCPCS A4400

Ostomy irrigation set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.43 / $52.43 / $52.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.43 / $52.43 / $69.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.64 / $61.21 / $61.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.02 / $67.83 / $69.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.75 / $79.13 / $107.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.72 / $68.28 / $305.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $31.58 / $52.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.83 / $69.44 / $87.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.20 / $82.99 / $139.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.90 / $31.58 / $44.62