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Oregon rates for HCPCS A4400

Ostomy Irrigation Set (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $42.56 / $197.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.02 / $41.02 / $41.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.86 / $34.86 / $37.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.63 / $122.88 / $150.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.54 / $49.85 / $61.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.72 / $46.24 / $60.94
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.24 / $58.04 / $66.75
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $50.71 / $50.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.13 / $49.68 / $58.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.86 / $50.82 / $65.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.62 / $63.84 / $63.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.25 / $28.96 / $55.24