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Nebraska rates for HCPCS A5063

Ostomy pouch, drainable; for use on barrier with flange (two-piece system), each

Facilitymedian $4 · 10th–90th $1–$790%10%10th90th$4Professionalmedian $2 · 10th–90th $1–$90%10%20%10th90th$2$0.0$0.1$0.5$2.0$10.0$50.0$200.0

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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.02 / $16.60
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.63 / $3.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.40 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $4.47 / $6.46
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $5.13 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.86 / $3.80
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $10.23
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.27
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $9.33 / $10.23
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.74 / $2.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.86 / $2.95