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Oregon rates for HCPCS A5073

Ostomy Pouch Urinary; For Use On Barrier With Flange (2 Piece) Each (Updated 01-01-2003) Cm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $3.26 / $12.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $2.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $3.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $7.82 / $9.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $3.89 / $4.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.28 / $3.62 / $4.66
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $3.99 / $4.44
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $4.38 / $4.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $3.82 / $4.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $3.89 / $4.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $4.88 / $4.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.88 / $3.60