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Oregon rates for HCPCS A4423

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.90 / $7.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $1.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $4.97 / $6.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $2.23 / $2.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.46 / $2.72
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.33 / $2.52 / $2.98
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.59 / $2.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $2.22 / $2.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $2.27 / $2.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.85 / $2.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.10 / $2.12