go back

Nebraska rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $3.02 / $19.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.27 / $4.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $3.31 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $5.25 / $7.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $6.17 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.19 / $4.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.90 / $11.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $5.01 / $5.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $11.22 / $11.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $2.04 / $2.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.09 / $3.31