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Nebraska rates for HCPCS A5062

Ostomy pouch, drainable; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.79 / $2.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $3.19 / $3.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $3.19 / $4.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.20 / $3.19 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.45 / $2.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $3.19 / $4.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $3.73 / $6.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.45 / $2.02