go back

Oregon rates for HCPCS Q4156

Neox 100 Or Clarix 100 Per Square Centimeter (Desc Revised 1/1/2018)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.34 / $66.34 / $66.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $76.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.15 / $90.63 / $129.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $77.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.38 / $161.69 / $183.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.88 / $66.34 / $198.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $69.83 / $85.64
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.88 / $68.43 / $137.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.88 / $80.06 / $187.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $82.75 / $187.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.59 / $65.88 / $65.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $75.76