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ArthroFlex

Oregon rates for HCPCS Q4125

ArthroFlex, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated October 2026.

How much does ArthroFlex cost?

$126

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $224 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$126 to $141
FacilityA hospital or hospital-owned outpatient department$224$200 to $257

How much rates vary

Facilitymedian $224 · 10th to 90th $166 to $302Professionalmedian $126 · 10th to 90th $126 to $219
$100$200facility $224professional $126

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$229.09
Typical High
$302.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$275.42
Typical High
$346.74
Moda Health
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$151.36
Typical High
$199.53
Moda Health
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$141.25
Typical High
$281.84
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Providence
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$223.87
Typical High
$302.00
Providence
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$125.89
Typical High
$125.89
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$204.17
Typical High
$218.78
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Oregon sits

The same service costs 5.9 times more in North Dakota than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Oregon· 36th of 51

$126

ND $224NY $38.02

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.