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Oregon rates for HCPCS Q4107

Graftjacket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.96 / $85.96 / $85.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.90 / $83.94 / $101.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.96 / $171.92 / $171.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.96 / $85.96 / $85.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.72 / $171.96 / $201.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.94 / $96.77 / $200.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.31 / $102.31 / $195.93
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.90 / $144.02 / $146.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.94 / $111.24 / $188.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.96 / $126.40 / $136.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.47 / $136.47 / $163.76