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Oregon rates for HCPCS A4428

Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (one piece), each

Facilitymedian $9 · 10th–90th $7$90%50%10th90th$9Professionalmedian $5 · 10th–90th $2$100%10%10th90th$5$2.0$10.0$50.0$200.0

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
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $5.01 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $4.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $16.98 / $19.50
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $7.41 / $9.33
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $7.41 / $10.23
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.91 / $9.12
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $9.12 / $10.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $7.94 / $10.96
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $8.71 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.23 / $10.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $3.55 / $4.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.89 / $7.41