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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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $3.02 / $16.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.72 / $3.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.40 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $4.47 / $6.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $5.37 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.91 / $3.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $9.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $9.55 / $9.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.74 / $2.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.82 / $2.95