go back

Nebraska rates for HCPCS A4431

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.19 / $7.19 / $7.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.19 / $7.19 / $9.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.62 / $8.39 / $8.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $9.53 / $9.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.59 / $9.53 / $14.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.57 / $8.77 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $4.33 / $7.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $9.53 / $12.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.82 / $11.15 / $18.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $4.33 / $5.78