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Oregon rates for HCPCS Q4173

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.55 / $356.55 / $356.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $349.02 / $404.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.26 / $329.26 / $721.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.01 / $349.01 / $411.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.47 / $782.66 / $906.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.02 / $356.55 / $891.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $383.92 / $453.73
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.01 / $356.55 / $724.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.02 / $429.39 / $891.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.01 / $500.00 / $1,187.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.57 / $349.02 / $349.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $349.02 / $401.37