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Oregon rates for HCPCS A4404

Ostomy Ring Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $1.46 / $6.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $4.25 / $5.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.75 / $2.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.87 / $2.09
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $1.99 / $2.34
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.11 / $2.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.74 / $2.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.74 / $2.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.19 / $2.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.00 / $1.90