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Oregon rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Facilitymedian $8 · 10th–90th $6–$80%50%10th90th$8Professionalmedian $5 · 10th–90th $2–$90%10%20%10th90th$5$2.0$5.0$10.0$20.0$50.0

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
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $6.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $4.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $14.79 / $17.38
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $6.17 / $8.13
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $7.41 / $9.12
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $7.94 / $8.13
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $8.13 / $8.91
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $7.59 / $10.23
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $7.59 / $70.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $9.12 / $9.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $3.16 / $3.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.39 / $6.46