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Nebraska rates for HCPCS A4427

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.77 / $3.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $4.29 / $4.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $4.29 / $6.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $3.90 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.94 / $3.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $4.29 / $5.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $5.01 / $8.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.94 / $2.48