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Oregon rates for HCPCS A4377

Ostomy Pouch Drainable For Use On Faceplate Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $4.38 / $17.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.60 / $3.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $4.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $10.64 / $13.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $5.26 / $6.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.42 / $5.63 / $6.29
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.38 / $5.85 / $6.59
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.99 / $6.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $5.15 / $5.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $5.24 / $6.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.15 / $6.59 / $6.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.54 / $4.86