go back

Nebraska rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two piece), each

Facilitymedian $2 · 10th–90th $1–$790%10%10th90th$2Professionalmedian $1 · 10th–90th $1–$100%20%40%10th90th$1$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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $10.47
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.48 / $2.29
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.34 / $2.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.55 / $2.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $2.63 / $4.07
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $3.39 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $1.20 / $2.40
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $6.46
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $2.69
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $6.03 / $6.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $1.10 / $1.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $1.20 / $1.91