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Oregon rates for HCPCS A4430

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

Facilitymedian $12 · 10th–90th $9–$120%50%10th90th$12Professionalmedian $7 · 10th–90th $3–$130%10%10th90th$7$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $6.03 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $22.39 / $25.70
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $9.77 / $12.30
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $9.77 / $13.49
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $11.75 / $12.02
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $10.47 / $14.45
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $11.22 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $13.49 / $13.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $4.57 / $5.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $5.01 / $9.55