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Oregon rates for HCPCS A4376

Ostomy Pouch Drainable With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.51 / $48.74 / $191.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $39.94 / $39.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $33.95 / $46.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.54 / $120.03 / $146.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.58 / $58.28 / $67.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.44 / $59.83 / $66.48
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.61 / $64.92 / $76.45
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.61 / $66.48 / $73.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $57.10 / $66.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $58.21 / $73.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.17 / $73.13 / $73.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.83 / $28.19 / $53.78