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Oregon rates for HCPCS Q4128

Flex Hd Or Allopatch Hd Per Square Centimeter (Desc Revised 10/01/2022)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.70 / $30.70 / $30.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $34.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.22 / $43.29 / $48.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $33.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.89 / $74.94 / $87.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.91 / $30.70 / $64.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $31.71 / $37.39
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.91 / $30.87 / $62.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.91 / $35.89 / $61.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $38.13 / $38.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.41 / $29.91 / $29.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $34.40