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Oregon rates for HCPCS Q4170

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.55 / $41.55 / $41.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $45.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.09 / $37.09 / $889.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $46.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.03 / $93.95 / $108.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $41.55 / $1,254.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $45.21 / $51.10
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $41.67 / $117.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $53.85 / $1,187.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $76.81 / $1,187.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.34 / $39.31 / $39.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $45.21