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Oregon rates for HCPCS A4425

Ostomy Pouch Drainable; For Use On Barrier With Non-Locking Flange With Filter (2 Piece System) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.69 / $9.69 / $9.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $3.67 / $14.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $3.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $9.24 / $11.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $4.38 / $5.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $4.75 / $5.25
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.49 / $4.88 / $5.50
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $5.00 / $5.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $4.38 / $5.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $4.38 / $5.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $5.50 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.12 / $4.05