go back

Nebraska rates for HCPCS A4411

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $30.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.92 / $6.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.57 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $8.32 / $12.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $10.00 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.55 / $7.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $17.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $17.78 / $17.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $3.24 / $4.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.39 / $5.50