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Oregon rates for HCPCS Q4167

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.80 / $102.80 / $102.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.75 / $100.38 / $120.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.80 / $205.60 / $205.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.80 / $102.80 / $102.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $175.00 / $194.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.38 / $120.94 / $156.54
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.38 / $120.94 / $156.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.80 / $151.18 / $151.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.78 / $100.78 / $115.90