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Oregon rates for HCPCS A4361

Ostomy Faceplate Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $18.80 / $74.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.42 / $15.42 / $15.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $13.11 / $18.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.96 / $46.16 / $56.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.35 / $22.50 / $25.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.09 / $23.09 / $25.65
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.80 / $25.05 / $28.22
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.43 / $25.65 / $26.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.42 / $21.88 / $25.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $22.47 / $28.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.06 / $28.22 / $28.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.36 / $10.88 / $20.76