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Oregon rates for HCPCS A5072

Ostomy Pouch Urinary; Without Barrier Attached (1piece) Each (Updated 01-01-2003) 30)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $3.60 / $14.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.43 / $2.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $9.24 / $11.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $4.20 / $4.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.61 / $4.41 / $5.15
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.45 / $4.94
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.66 / $5.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $4.18 / $4.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $4.30 / $5.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $5.39 / $5.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.09 / $4.00