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Oregon rates for HCPCS A4398

Ostomy Irrigation Supply; Bag Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.67 / $14.16 / $55.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.60 / $11.60 / $11.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $13.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.52 / $34.81 / $42.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $16.93 / $19.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.35 / $17.38 / $19.30
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $18.86 / $22.21
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $19.30 / $21.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.60 / $16.57 / $19.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $16.91 / $21.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.61 / $21.24 / $21.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.70 / $8.19 / $15.62