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Nebraska rates for HCPCS A4405

Ostomy skin barrier, nonpectin-based, paste, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.95 / $3.95 / $3.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $3.95 / $3.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.61 / $4.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $5.25 / $5.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $5.25 / $8.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.61 / $5.23 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $2.38 / $3.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.23 / $5.25 / $6.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $6.13 / $10.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $2.38 / $3.11