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Oregon rates for HCPCS Q4218

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $124.50 / $150.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.50 / $255.00 / $255.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $175.00 / $194.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.50 / $150.00 / $194.16
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.50 / $150.00 / $267.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $172.50