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Oregon rates for HCPCS A5052

Ostomy Pouch Closed; Without Barrier Attached (1 Piece) Each (Updated 01-01-2003) 0)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $1.18 / $1.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $1.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $3.54 / $4.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $1.82 / $2.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $1.98 / $2.18
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $2.02 / $2.39
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.08 / $2.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.79 / $2.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.82 / $2.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.29 / $2.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.88 / $1.69