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Nebraska rates for HCPCS A4424

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.51 / $5.51 / $5.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $5.51 / $5.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $6.42 / $6.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $7.32 / $7.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $7.32 / $11.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $6.71 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $3.32 / $5.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.29 / $7.32 / $9.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $8.55 / $14.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $3.32 / $5.20