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Nebraska rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Facilitymedian $7 · 10th–90th $3–$790%10%10th90th$7Professionalmedian $5 · 10th–90th $2–$180%10%10th90th$5$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $5.01 / $30.90
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $6.92 / $7.24
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.92 / $6.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.57 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $8.32 / $12.02
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $9.77 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $3.55 / $7.08
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $19.05
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $17.78 / $19.05
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $3.24 / $4.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.55 / $5.62