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Oregon rates for HCPCS A4387

Ostomy Pouch Closed With Barrier Attached With Built-In Convexity (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $2.31 / $9.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.61 / $2.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $5.68 / $6.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.96 / $3.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.98 / $3.30
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $3.14 / $4.75
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $3.14 / $4.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.75 / $3.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $2.22 / $3.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $3.45 / $3.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.33 / $2.67