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Nebraska rates for HCPCS A5071

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.95 / $6.95 / $6.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.95 / $6.95 / $7.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.37 / $8.11 / $8.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $9.24 / $9.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $9.24 / $14.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.80 / $8.40 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $4.19 / $6.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.19 / $9.24 / $11.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.56 / $10.79 / $18.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $4.19 / $5.36