go back

Oregon rates for HCPCS Q4155

Neox Flo or Clarix Flo 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.31 / $27.31 / $27.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $27.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $40.65 / $52.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $28.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $59.66 / $75.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $38.07 / $57.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $28.22 / $33.28
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.82 / $26.63 / $55.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $40.65 / $85.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $28.89 / $35.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $31.94