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Nebraska rates for HCPCS A4414

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.69 / $5.69 / $5.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $5.69 / $5.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $5.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $6.63 / $6.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $7.56 / $7.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $7.56 / $11.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.21 / $6.87 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $3.43 / $6.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.53 / $7.56 / $9.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $8.86 / $14.96
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.03 / $530.03 / $530.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $3.43 / $4.50