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Oregon rates for HCPCS Q4138

Biodfence Dryflex Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.40 / $100.40 / $100.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $113.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.55 / $132.41 / $188.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $115.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.00 / $232.51 / $267.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.11 / $100.40 / $258.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $103.99 / $122.64
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.72 / $100.40 / $208.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.11 / $116.96 / $294.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $282.39 / $294.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.20 / $98.11 / $98.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $112.83