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Oregon rates for HCPCS Q4116

Alloderm Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.75 / $26,570.91 / $49,993.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.89 / $25.82 / $31.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.11 / $62.22 / $62.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $36.69
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
$25.82 / $31.11 / $77.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.70 / $66.70 / $66.70
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.11 / $31.11 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.82 / $32.33 / $79.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $39.69 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $33.29