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Oregon rates for HCPCS A5051

Ostomy Pouch Closed; With Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.63 / $2.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $2.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $4.97 / $6.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.52 / $3.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.59 / $3.02
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.59 / $2.81 / $3.31
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.88 / $3.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $2.52 / $3.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $2.52 / $3.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $3.17 / $3.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.22 / $2.33