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Oregon rates for HCPCS A4433

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

Facilitymedian $5 · 10th–90th $4–$50%50%10th90th$5Professionalmedian $3 · 10th–90th $1–$50%20%10th90th$3$1.0$5.0$20.0$100.0

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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $8.91 / $10.23
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $3.72 / $4.90
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.89 / $5.25
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.57 / $4.68
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $5.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $4.07 / $5.62
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $4.47 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $5.25 / $5.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.82 / $2.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.00 / $3.80