go back

Oregon rates for HCPCS A2014

Omeza collagen matrix, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.69 / $130.69 / $130.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $127.61 / $153.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.12 / $121.12 / $130.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.69 / $130.69 / $130.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.65 / $143.57 / $170.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.23 / $140.37 / $193.41
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.60 / $115.24 / $115.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.23 / $132.22 / $274.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.23 / $80.16 / $2,250,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.14 / $143.43 / $183.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.13 / $128.13 / $147.35