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Oregon rates for HCPCS A5063

Ostomy Pouch Drainable; For Use On Barrier With Flange (2 Piece System) Each Ly. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $2.74 / $10.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $2.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $7.10 / $8.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.70 / $3.31 / $3.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $3.59 / $3.97
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.40 / $3.69 / $4.34
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.78 / $4.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $3.31 / $3.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $3.31 / $4.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $4.16 / $4.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.60 / $3.06