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Oregon rates for HCPCS Q4140

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $245.47 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $181.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $263.03 / $323.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $162.18 / $234.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $245.47 / $316.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $165.96 / $204.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $177.83 / $346.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $125.89 / $234.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $158.49 / $371.54