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Oregon rates for HCPCS A4423

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

Facilitymedian $3 · 10th–90th $2–$30%50%10th90th$3Professionalmedian $1 · 10th–90th $1–$30%20%40%10th90th$1$1.0$2.0$5.0$10.0$20.0$50.0$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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $1.55 / $1.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $1.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $5.25 / $6.03
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $2.09 / $2.69
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.14 / $2.88
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $2.51 / $2.57
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.57 / $2.57
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $2.24 / $3.09
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $2.45 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.88 / $2.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $1.00 / $1.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.10 / $2.09