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Oregon rates for HCPCS A4426

Ostomy pouch, drainable; for use on barrier with locking flange (two-piece system), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $2.80 / $11.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $2.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $7.10 / $8.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $3.34 / $4.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $3.62 / $4.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $3.72 / $4.38
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.81 / $4.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $3.28 / $3.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $3.34 / $4.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.28 / $4.19 / $4.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.61 / $3.09