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Oregon rates for HCPCS Q4191

Restorigin, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.43 / $730.43 / $730.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.29 / $655.29 / $760.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.21 / $1,438.19 / $1,880.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.29 / $655.29 / $772.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.52 / $1,781.11 / $2,910.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.29 / $730.43 / $1,925.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.29 / $753.60 / $851.89
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.29 / $730.44 / $1,965.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.29 / $897.76 / $1,925.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.29 / $1,433.00 / $2,250,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.54 / $655.29 / $655.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.29 / $655.29 / $753.60