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Oregon rates for HCPCS A4375

Ostomy Pouch Drainable With Faceplate Attached Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $17.59 / $69.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.93 / $15.93 / $15.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $13.54 / $13.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.79 / $43.33 / $52.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.18 / $21.03 / $24.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.85 / $21.59 / $23.99
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.51 / $23.43 / $27.59
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.51 / $23.99 / $26.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.43 / $20.62 / $23.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $21.01 / $25.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.63 / $26.39 / $26.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.58 / $10.18 / $19.41