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Oregon rates for HCPCS A5071

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $6.15 / $24.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $5.04 / $5.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.88 / $14.92 / $18.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.01 / $7.36 / $8.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.24 / $7.79 / $8.82
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.53 / $8.19 / $9.66
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $8.40 / $9.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $7.21 / $8.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $7.35 / $9.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $9.24 / $9.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.56 / $6.82