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Oregon rates for HCPCS Q4156

Neox 100 or Clarix 100, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $117.49 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $66.07 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $91.20 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $74.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $245.47 / $323.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $81.28 / $147.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $245.47 / $316.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $97.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $79.43 / $199.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $125.89 / $138.04
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 / $151.36 / $151.36