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Oregon rates for HCPCS Q4222

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.55 / $127.55 / $127.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $145.49 / $157.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.25 / $165.51 / $271.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $145.49 / $171.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.66 / $295.51 / $335.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.55 / $145.49 / $311.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $154.22 / $189.14
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.67 / $145.49 / $301.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.49 / $146.19 / $312.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $176.86 / $2,400,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.22 / $145.49 / $145.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $145.49 / $167.31