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Oregon rates for HCPCS A4383

Ostomy pouch, urinary, for use on faceplate, rubber, each

Facilitymedian $39 · 10th–90th $31–$400%50%10th90th$39Professionalmedian $25 · 10th–90th $12–$450%10%10th90th$25$10.0$50.0$200.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $21.88 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $22.39 / $22.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $74.13 / $85.11
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $30.90 / $41.69
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $31.62 / $44.67
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $38.90 / $39.81
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $39.81 / $39.81
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $34.67 / $46.77
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $33.11 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $44.67 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $18.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $16.60 / $31.62