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Nebraska rates for HCPCS A5051

Ostomy pouch, closed; with barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $2.38 / $2.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.38 / $2.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.77 / $2.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $3.17 / $3.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $3.17 / $4.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.88 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.44 / $2.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.17 / $4.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.70 / $6.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.44 / $1.92