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Nevada rates for HCPCS A4412

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), without filter, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $3.24 / $3.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $7.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $2.80
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $3.40 / $7.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.60 / $2.67