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Oregon rates for HCPCS Q4168

AmnioBand, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.05 / $17.05 / $17.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $14.15 / $17.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.05 / $34.10 / $34.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $17.05 / $20.11
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
$14.15 / $15.57 / $30.42
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.62 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.15 / $17.05 / $30.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $20.11 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $17.05 / $20.46