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Oregon rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Facilitymedian $4 · 10th–90th $3–$40%50%10th90th$4Professionalmedian $2 · 10th–90th $1–$40%10%20%10th90th$2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $8.32 / $8.32
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $1.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $7.41 / $8.51
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $3.02 / $3.98
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $3.09 / $4.37
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $3.80 / $3.89
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.89 / $4.07
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $3.39 / $4.57
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $3.63 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.37 / $4.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $1.48 / $1.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.62 / $3.09