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Nebraska rates for HCPCS A4415

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 in, each

Facilitymedian $9 · 10th–90th $3–$790%10%20%10th90th$9Professionalmedian $6 · 10th–90th $2–$210%10%10th90th$6$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
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $6.03 / $36.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $8.13 / $8.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.37 / $9.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $9.77 / $14.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $11.75 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $4.17 / $8.32
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $22.39
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $20.89 / $22.39
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $3.80 / $5.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $4.17 / $6.61