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Nebraska rates for HCPCS A4428

Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (one piece), each

Facilitymedian $9 · 10th–90th $4$790%10%10th90th$9Professionalmedian $7 · 10th–90th $3$230%10%10th90th$7$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
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $7.08 / $39.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.71 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.75 / $10.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $10.47 / $15.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $12.88 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.57 / $9.12
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $24.55
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $22.91 / $24.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $4.17 / $5.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.57 / $7.08