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Nebraska rates for HCPCS A4428

Ostomy Pouch Urinary With Extended Wear Barrier Attached With Faucet-Type Tap With Valve (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $7.54 / $7.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.54 / $7.54 / $7.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.81 / $8.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $10.02 / $10.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.47 / $10.02 / $15.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.89 / $9.11 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.08 / $4.54 / $7.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.99 / $10.02 / $12.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $11.70 / $19.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $4.54 / $5.94