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Oregon rates for HCPCS A4392

Ostomy Pouch Urinary With Standard Wear Barrier Attached With Built-In Convexity (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $8.36 / $32.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $6.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $5.83 / $8.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.99 / $20.60 / $25.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.18 / $10.01 / $11.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $10.59 / $11.42
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.25 / $11.15 / $12.56
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.99 / $11.42 / $11.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $10.00 / $11.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $10.00 / $12.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.82 / $12.56 / $12.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $4.84 / $9.48