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Nebraska rates for HCPCS A4429

Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.53 / $9.53 / $9.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.53 / $9.53 / $12.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $11.15 / $11.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $12.68 / $12.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.34 / $13.50 / $19.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.72 / $11.53 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $5.75 / $9.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.65 / $12.68 / $15.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $14.81 / $25.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $5.75 / $7.66