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Oregon rates for HCPCS A4417

Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (one piece), each

Facilitymedian $5 · 10th–90th $4–$50%50%10th90th$5Professionalmedian $3 · 10th–90th $1–$60%10%20%10th90th$3$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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.02 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $2.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $9.77 / $11.22
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $4.07 / $5.37
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.27 / $5.89
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $5.13 / $5.25
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $5.25 / $5.75
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $4.57 / $6.31
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $5.01 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $5.89 / $5.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $2.00 / $2.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.19 / $4.27