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Oregon rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $5.64 / $22.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $4.62 / $4.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $3.93 / $5.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $14.21 / $17.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $6.74 / $7.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.72 / $6.93 / $7.70
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.89 / $7.52 / $8.86
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.89 / $7.70 / $7.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $6.60 / $7.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $6.74 / $8.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.62 / $8.47 / $8.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.26 / $6.23