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Oregon rates for HCPCS A4389

Ostomy pouch, drainable, with barrier attached, with built-in convexity (one piece), each

Facilitymedian $9 · 10th–90th $7–$90%50%10th90th$9Professionalmedian $5 · 10th–90th $2–$100%10%10th90th$5$2.0$10.0$50.0$200.0

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
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $5.01 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $5.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $4.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $16.22 / $18.62
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.92 / $9.12
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.08 / $9.77
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $8.51 / $8.71
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $8.71 / $9.55
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $7.76 / $10.47
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $8.32 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.77 / $9.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $3.39 / $4.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.72 / $7.08