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Nebraska rates for HCPCS A4410

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.46 / $10.46 / $10.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.46 / $10.46 / $10.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.63 / $12.63 / $12.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $12.21 / $12.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $13.89 / $13.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $13.89 / $21.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.23 / $12.63 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $6.30 / $10.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.85 / $13.89 / $17.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.38 / $16.23 / $27.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $6.30 / $9.89