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Oregon rates for HCPCS A5051

Ostomy pouch, closed; with barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $5.13 / $6.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.34 / $3.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.40 / $3.24
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $2.82 / $2.88
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.88 / $2.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $2.51 / $3.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.75 / $70.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.24 / $3.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $0.95 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.23 / $2.34