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Oregon rates for HCPCS 15004

Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.42 / $2,659.00 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.12 / $362.86 / $721.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.72 / $656.53 / $1,050.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.17 / $612.72 / $914.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.08 / $571.80 / $944.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.84 / $627.12 / $828.63
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.03 / $677.73 / $792.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.64 / $597.05 / $1,354.94
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$128.97 / $128.97 / $128.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.13 / $699.89 / $986.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.90 / $1,985.16 / $2,351.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.15 / $763.93 / $1,118.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.00 / $3,290.00 / $6,216.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.09 / $756.00 / $1,182.45