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Oregon rates for HCPCS Q4114

Integra flowable wound matrix, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,542.24 / $1,542.24 / $1,542.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,733.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,409.82 / $2,265.00 / $2,988.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,762.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,585.69 / $3,576.20 / $4,583.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,308.00 / $1,542.24 / $3,113.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,584.07 / $1,942.73
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.30 / $1,549.36 / $3,108.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,409.82 / $1,613.96 / $3,201.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,979.71 / $2,250,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.69 / $1,494.41 / $1,494.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,793.29