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Oregon rates for HCPCS Q4164

Helicoll Per Sqaure Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $1,640.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $1,903.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.29 / $1,548.05 / $1,640.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $1,857.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $3,602.91 / $4,173.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $3,511.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $1,739.39 / $2,133.21
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,552.70 / $1,640.93 / $3,413.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.93 / $1,716.00 / $3,528.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $1,962.08 / $2,250,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.88 / $1,640.93 / $1,640.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $1,887.07