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Nebraska rates for HCPCS A5056

Ostomy Pouch Drainable With Extended Wear Barrier Attached With Filter (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.41 / $5.41 / $5.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $5.41 / $5.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $6.53 / $6.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.74 / $6.32 / $6.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $7.18 / $7.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $7.18 / $11.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $6.53 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $3.26 / $5.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.16 / $7.18 / $9.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.50 / $8.40 / $14.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.26 / $4.26