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Oregon rates for HCPCS A5081

Stoma Plug Or Seal Any Type Revised 1/1/2014

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $2.89 / $13.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $2.60 / $2.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.21 / $2.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $8.52 / $10.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $3.45 / $4.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $3.70 / $4.13
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $3.84 / $4.53
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $3.94 / $4.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $3.45 / $3.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $3.45 / $4.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $4.33 / $4.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.96 / $3.76