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Nebraska rates for HCPCS A4408

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 in, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.42 / $11.42 / $11.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.42 / $11.42 / $11.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.11 / $13.34 / $13.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $15.17 / $15.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.28 / $15.17 / $23.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.23 / $13.79 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.66 / $6.88 / $11.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.13 / $15.17 / $19.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.42 / $17.73 / $29.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.88 / $9.18