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Oregon rates for HCPCS A4375

Ostomy pouch, drainable, with faceplate attached, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $14.13 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.49 / $13.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $44.67 / $52.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $19.05 / $26.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $19.50 / $26.30
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $23.44 / $23.99
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $23.99 / $23.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $20.89 / $29.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $20.89 / $34.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $26.92 / $26.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $7.76 / $9.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $10.23 / $19.50