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Oregon rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $2.69 / $2.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $7.94 / $9.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.55 / $4.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.98 / $5.01
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $3.98 / $4.47
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.37 / $4.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $3.80 / $5.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $4.27 / $70.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $5.01 / $5.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.86 / $3.63