go back

Oregon rates for HCPCS Q4127

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.48 / $68.48 / $68.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $68.48 / $79.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.61 / $96.92 / $136.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $68.48 / $80.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.86 / $167.21 / $196.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $68.48 / $146.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $78.76 / $89.04
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.31 / $68.48 / $142.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.84 / $75.34 / $136.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $83.39 / $98.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.06 / $68.48 / $68.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $68.48 / $78.76