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Oregon rates for HCPCS A2014

Omeza Collagen Matrix or Omeza Complete Matrix, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $131.83 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $125.89 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $131.83 / $169.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $131.83 / $186.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $125.89 / $131.83
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $114.82 / $114.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $138.04 / $173.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $128.82 / $131.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $120.23 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82