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Oregon rates for HCPCS Q4151

Amnioband Or Guardian Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.19 / $137.19 / $137.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $431.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.25 / $202.95 / $272.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $159.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.94 / $318.02 / $410.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.88 / $137.19 / $290.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $142.97 / $168.61
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.88 / $144.44 / $280.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.88 / $168.95 / $288.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $169.11 / $182.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.15 / $134.88 / $134.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $155.12