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Oregon rates for HCPCS A4391

Ostomy pouch, urinary, with extended wear barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $7.24 / $28.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.93 / $5.93 / $5.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $5.04 / $6.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $17.75 / $21.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.07 / $8.66 / $9.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.34 / $8.65 / $9.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.85 / $9.64 / $11.35
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.85 / $9.86 / $9.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.93 / $8.48 / $9.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $8.65 / $10.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.49 / $10.86 / $10.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $4.19 / $7.99