go back

Nebraska rates for HCPCS A4415

Ostomy Skin Barrier With Flange (Solid Flexible Or Accordion) Extended Wear Without Built-In Convexity Larger Than 4 X 4 Inches Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.93 / $6.93 / $6.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $6.93 / $7.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $8.09 / $8.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $9.22 / $9.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $9.22 / $14.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.34 / $8.38 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $4.18 / $6.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.18 / $9.22 / $11.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.55 / $10.76 / $18.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $4.18 / $5.47