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Nebraska rates for HCPCS A4412

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), without filter, each

Facilitymedian $4 · 10th–90th $1$790%10%10th90th$4Professionalmedian $3 · 10th–90th $1$90%10%20%10th90th$3$0.0$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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.02 / $16.60
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.63 / $3.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.82 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $4.47 / $6.46
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $5.37 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.86 / $3.98
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $10.23
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.27
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $9.33 / $10.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.74 / $2.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.86 / $2.95