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Oregon rates for HCPCS A4377

Ostomy pouch, drainable, for use on faceplate, plastic, each

Facilitymedian $6 · 10th–90th $5$60%50%10th90th$6Professionalmedian $3 · 10th–90th $1$70%20%10th90th$3$1.0$5.0$20.0$100.0

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
$3.98
Median
$3.98
Typical High
$3.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$3.02
Typical High
$3.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.09
Typical High
$3.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$11.22
Typical High
$12.88
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.68
Typical High
$6.31
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.90
Typical High
$6.76
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$5.89
Typical High
$6.03
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$6.03
Typical High
$6.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$5.25
Typical High
$7.24
Providence
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$5.75
Typical High
$79.43
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.76
Typical High
$6.76
United
Setting
Facility
Modifier
Global
Typical Low
$1.95
Median
$2.29
Typical High
$2.82
United
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.51
Typical High
$4.79