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Nebraska rates for HCPCS A4423

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

Facilitymedian $3 · 10th–90th $1–$790%10%10th90th$3Professionalmedian $2 · 10th–90th $1–$110%20%10th90th$2$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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $11.22
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.51 / $2.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $1.66 / $2.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $3.02 / $4.37
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $3.63 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $1.29 / $2.75
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $2.88 / $5.50
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $6.46 / $6.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $1.17 / $1.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $1.29 / $2.04