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Oregon rates for HCPCS A4389

Ostomy Pouch Drainable 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
$2.54 / $6.36 / $25.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $5.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.44 / $6.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.07 / $15.63 / $19.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.22 / $7.61 / $9.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $7.80 / $8.67
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.79 / $8.47 / $9.97
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $8.67 / $9.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $7.60 / $9.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $7.60 / $9.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $9.53 / $9.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.68 / $7.02