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Nebraska rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $3.18 / $3.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $3.18 / $3.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.72 / $3.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $4.24 / $4.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $4.24 / $6.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $3.85 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.92 / $3.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.22 / $4.24 / $5.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $4.94 / $8.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.81 / $2.46