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Oregon rates for HCPCS Q4172

Puraply Or Puraply Am

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.72 / $76.72 / $91.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $175.00 / $194.25
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20