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Nebraska rates for HCPCS A4421

Ostomy supply; miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.60 / $23.76 / $24.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.55 / $22.55 / $22.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.55 / $22.55 / $22.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $9.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $23.45 / $23.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.48 / $1.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.94 / $1.00