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Oregon rates for HCPCS Q4154

Biovance 1 Square Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.86 / $142.86 / $142.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $404.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.43 / $204.29 / $267.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $155.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.70 / $331.52 / $413.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.90 / $142.86 / $283.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $139.81 / $171.47
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.90 / $148.97 / $274.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.90 / $166.99 / $288.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $172.08 / $197.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.31 / $131.90 / $131.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $151.69