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Nebraska rates for HCPCS A4426

Ostomy pouch, drainable; for use on barrier with locking flange (two-piece system), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.68 / $3.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $4.19 / $4.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $4.19 / $6.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.89 / $3.81 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.90 / $3.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.18 / $4.19 / $5.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $4.90 / $8.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.90 / $2.50