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Nebraska rates for HCPCS A4388

Ostomy pouch, drainable, with extended wear barrier attached, (one piece), each

Facilitymedian $6 · 10th–90th $2–$790%10%10th90th$6Professionalmedian $4 · 10th–90th $2–$150%20%10th90th$4$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
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $5.01 / $26.30
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.89 / $5.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.89 / $6.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $7.08 / $10.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $8.32 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $3.02 / $6.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.76 / $16.22
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $6.76
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $15.14 / $16.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $2.75 / $3.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $3.02 / $4.79