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Oregon rates for HCPCS A4424

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $3.02 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $12.30 / $14.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $5.25 / $6.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $5.25 / $7.24
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.46 / $6.61
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.61 / $6.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $5.75 / $8.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $6.31 / $70.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $7.41 / $7.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.82 / $5.37