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Nebraska rates for HCPCS A4387

Ostomy pouch, closed, with barrier attached, with built-in convexity (one piece), each

Facilitymedian $4 · 10th–90th $2$890%20%10th90th$4Professionalmedian $2 · 10th–90th $1$90%20%10th90th$2$0.1$0.2$1.0$5.0$20.0$100.0

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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $13.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $3.02 / $3.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $3.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $3.72 / $5.37
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $4.57 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.78 / $3.98
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $8.51
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $7.76 / $8.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $2.19 / $3.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.58 / $3.80