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Oregon rates for HCPCS Q4178

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $117.49 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $123.03 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $102.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $251.19 / $323.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $138.04 / $141.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $239.88 / $316.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $89.13 / $144.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $104.71 / $239.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $125.89 / $154.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $151.36 / $223.87