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Oregon rates for HCPCS A4393

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $9.26 / $36.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $6.45 / $8.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.84 / $22.74 / $27.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.03 / $11.08 / $12.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.40 / $11.37 / $12.63
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.33 / $12.33 / $13.89
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.33 / $12.63 / $12.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $11.06 / $13.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $11.06 / $13.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.86 / $13.89 / $13.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.36 / $10.22