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Oregon rates for HCPCS A5093

Ostomy Accessory; Convex Insert (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.70 / $7.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $4.97 / $6.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $2.04 / $2.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.09 / $2.44
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.31 / $2.73
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.31 / $2.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $2.02 / $2.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $2.02 / $2.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.54 / $2.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.15 / $2.21