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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
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $5.01 / $30.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $4.90 / $4.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.61 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.47 / $7.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $7.94 / $11.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $9.77 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.47 / $7.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $9.55 / $17.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $7.76 / $7.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $10.00 / $17.38
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $3.16 / $4.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.31 / $5.25