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Oregon rates for HCPCS A4388

Ostomy Pouch Drainable With Extended Wear Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $4.47 / $17.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $3.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.11 / $4.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $10.64 / $13.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $5.35 / $6.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $5.48 / $6.39
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.48 / $5.95 / $7.00
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.48 / $6.09 / $6.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $5.34 / $6.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $5.34 / $6.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $6.70 / $6.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.35 / $2.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $2.59 / $4.93