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Nebraska rates for HCPCS A4409

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.19 / $7.19 / $7.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.12 / $7.19 / $7.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $8.40 / $8.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.62 / $8.39 / $8.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $9.53 / $9.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $9.53 / $14.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.57 / $8.67 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $4.33 / $8.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $9.53 / $12.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.82 / $11.15 / $18.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $4.33 / $5.68