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Oregon rates for HCPCS Q4113

Graftjacket Xpress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.00 / $744.93 / $897.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.88 / $1,525.76 / $1,525.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $175.00 / $194.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.75 / $861.30 / $1,121.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.06 / $358.06 / $570.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.55 / $919.55 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.92 / $919.55 / $1,601.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.88 / $1,375.00 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,997.50 / $1,997.50 / $2,297.13