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Nebraska rates for HCPCS A4417

Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (one piece), each

Facilitymedian $5 · 10th–90th $2$790%10%20%10th90th$5Professionalmedian $4 · 10th–90th $1$130%10%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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $3.98 / $22.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $5.01 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.63 / $5.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $6.03 / $8.91
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $7.41 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $2.57 / $5.25
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $14.13
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $5.89
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $12.88 / $14.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $2.34 / $3.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.57 / $4.07