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Oregon rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Facilitymedian $7 · 10th–90th $6–$70%50%10th90th$7Professionalmedian $4 · 10th–90th $2–$80%10%10th90th$4$1.0$5.0$20.0$100.0$500.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $3.98 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $13.49 / $15.49
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.62 / $7.41
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $6.46 / $7.94
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $6.92 / $7.08
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $7.08 / $7.08
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $6.46 / $8.51
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $6.76 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $7.94 / $7.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $2.75 / $3.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $3.02 / $5.75