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Nebraska rates for HCPCS A4433

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $3.88 / $3.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $3.88 / $3.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.53 / $4.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $5.16 / $5.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $5.16 / $7.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.54 / $4.69 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $2.33 / $3.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.16 / $6.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $6.02 / $10.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.33 / $3.05