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Oregon rates for HCPCS Q4163

WoundEx, BioSkin, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.18 / $182.18 / $182.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $182.18 / $211.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.87 / $257.81 / $364.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $182.18 / $214.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.31 / $422.28 / $521.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.18 / $182.18 / $550.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $209.51 / $236.83
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.87 / $182.18 / $378.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.18 / $222.28 / $550.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $225.05 / $2,250,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.07 / $182.18 / $182.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $182.18 / $209.51