go back

Oregon rates for HCPCS A4390

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

Facilitymedian $13 · 10th–90th $11$130%50%10th90th$13Professionalmedian $9 · 10th–90th $4$150%10%10th90th$9$5.0$10.0$20.0$50.0$100.0$200.0$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
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$20.89
Typical High
$20.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$7.08
Typical High
$10.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$6.92
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$25.12
Typical High
$28.84
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$10.47
Typical High
$14.13
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$10.72
Typical High
$15.14
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$13.18
Typical High
$13.49
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
Providence
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$12.02
Typical High
$16.22
Providence
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$12.88
Typical High
$79.43
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$15.14
Typical High
$15.14
United
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$5.13
Typical High
$6.31
United
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.75
Typical High
$10.96