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Oregon rates for HCPCS A4375

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

Facilitymedian $23 · 10th–90th $18$240%50%10th90th$23Professionalmedian $15 · 10th–90th $7$270%10%10th90th$15$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$12.88
Typical High
$19.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.49
Typical High
$13.49
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$45.71
Typical High
$52.48
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$19.05
Typical High
$25.12
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$19.50
Typical High
$26.92
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$23.44
Typical High
$23.99
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$23.99
Typical High
$25.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$20.89
Typical High
$28.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$20.89
Typical High
$39.81
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$26.92
Typical High
$26.92
United
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$9.33
Typical High
$11.22
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$10.23
Typical High
$19.50