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Nebraska rates for HCPCS A4423

Ostomy pouch, closed; for use on barrier with locking flange, with filter (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.15 / $2.15 / $2.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $2.15 / $2.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.50 / $2.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $2.85 / $2.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.85 / $4.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.97 / $2.59 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.30 / $2.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $2.85 / $3.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.33 / $5.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.28 / $1.70