go back

Nebraska rates for HCPCS A5072

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $5.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $4.67 / $4.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $5.32 / $5.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $5.43 / $8.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $4.94 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.41 / $4.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.31 / $5.43 / $6.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $6.39 / $10.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $2.41 / $3.78