go back

Oregon rates for HCPCS A4415

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 in, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $6.13 / $24.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $5.03 / $5.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.87 / $14.92 / $18.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $7.34 / $8.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.22 / $7.96 / $8.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.51 / $8.18 / $9.64
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $8.38 / $9.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $7.20 / $8.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $7.33 / $9.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.21 / $9.22 / $9.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.55 / $6.77