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Oregon rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $4.37 / $5.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $1.95 / $2.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.95 / $2.69
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.34 / $2.40
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.40 / $2.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $2.14 / $3.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $2.29 / $70.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.69 / $2.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $1.02 / $1.95