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Nebraska rates for HCPCS A4431

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

Facilitymedian $9 · 10th–90th $3–$790%10%10th90th$9Professionalmedian $7 · 10th–90th $3–$230%10%20%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
$2.00 / $7.08 / $38.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $8.32 / $8.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $9.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $10.23 / $14.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $12.30 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $4.37 / $8.71
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $23.44
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $9.77
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $21.88 / $23.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $3.98 / $5.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.37 / $6.76