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Oregon rates for HCPCS A4428

Ostomy Pouch Urinary With Extended Wear Barrier Attached With Faucet-Type Tap With Valve (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $6.68 / $26.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $5.47 / $5.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $4.65 / $6.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $16.34 / $19.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.51 / $7.98 / $9.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $8.46 / $9.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $8.90 / $10.02
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $9.11 / $9.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $7.81 / $9.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $7.98 / $10.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $10.02 / $10.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.86 / $7.37