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Nebraska rates for HCPCS A4404

Ostomy Ring Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.94 / $1.94 / $1.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $1.94 / $1.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.27 / $2.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $2.19 / $2.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.57 / $3.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.90 / $2.34 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.17 / $1.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.56 / $3.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.68 / $4.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.17 / $1.50