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Oregon rates for HCPCS A4367

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $7.54 / $28.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $6.18 / $6.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $7.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $18.46 / $22.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.13 / $9.01 / $10.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.64 / $8.19 / $10.79
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $9.94 / $11.31
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.21 / $10.18 / $11.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $8.33 / $10.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $9.01 / $11.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.84 / $11.31 / $11.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.15 / $4.36 / $8.32