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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
$3.68 / $3.68 / $3.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $3.68 / $3.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $4.29 / $4.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $4.82 / $4.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $4.88 / $7.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $4.44 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.21 / $3.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.82 / $4.87 / $6.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $5.63 / $9.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.21 / $2.84