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Nebraska rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Facilitymedian $8 · 10th–90th $3–$760%10%10th90th$8Professionalmedian $6 · 10th–90th $3–$200%10%10th90th$6$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
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $6.03 / $34.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.76 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $9.33 / $13.80
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $11.22 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.98 / $6.76
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $21.88
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.12
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $19.95 / $21.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $3.63 / $5.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $3.98 / $6.31