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Oregon rates for HCPCS A4392

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

Facilitymedian $11 · 10th–90th $9$110%50%10th90th$11Professionalmedian $7 · 10th–90th $3$130%10%10th90th$7$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $6.03 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $6.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $5.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $21.38 / $24.55
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $9.12 / $11.75
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $9.12 / $12.59
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $11.22 / $11.48
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $10.23 / $13.80
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $10.96 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $12.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $4.37 / $5.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.79 / $9.33