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Oregon rates for HCPCS A5056

Ostomy pouch, drainable, with extended wear barrier attached, with filter, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $4.79 / $18.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $3.93 / $3.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.34 / $4.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $12.07 / $14.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $6.51 / $7.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.20 / $6.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.84 / $6.38 / $7.51
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $6.53 / $6.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $5.72 / $6.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $5.72 / $7.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $7.18 / $7.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.77 / $5.29