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Nebraska rates for HCPCS A5061

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.33 / $4.76 / $4.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $5.43 / $5.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $5.43 / $8.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.61 / $4.94 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.46 / $4.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.41 / $5.43 / $6.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $6.42 / $10.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.46 / $3.22