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Oregon rates for HCPCS A4380

Ostomy Pouch Urinary With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.31 / $38.24 / $150.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.45 / $34.45 / $34.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $29.28 / $34.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.51 / $93.75 / $114.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.33 / $45.71 / $52.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.78 / $46.94 / $52.16
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.76 / $50.94 / $59.98
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.57 / $52.16 / $52.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.36 / $44.80 / $52.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $45.68 / $55.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.86 / $57.38 / $57.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.04 / $22.12 / $42.39