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Nebraska rates for HCPCS A4391

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

Facilitymedian $10 · 10th–90th $4$790%10%10th90th$10Professionalmedian $7 · 10th–90th $3$250%10%10th90th$7$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
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $7.94 / $42.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $9.55 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $6.31 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $11.75 / $16.60
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $13.80 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.90 / $10.00
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.96 / $26.30
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $24.55 / $26.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $4.47 / $6.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $4.90 / $7.76