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Nevada rates for HCPCS A4417

Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $4.47 / $4.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $2.60 / $5.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $2.67 / $3.68
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $3.91 / $7.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.21 / $3.68