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Nebraska rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Facilitymedian $4 · 10th–90th $2$790%10%10th90th$4Professionalmedian $3 · 10th–90th $1$100%10%20%10th90th$3$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
$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
$3.39 / $3.72 / $3.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.45 / $4.37
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
$1.29 / $1.91 / $3.98
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $10.47
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $4.37
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $9.55 / $10.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.74 / $2.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.91 / $3.02