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Oregon rates for HCPCS Q4226

MyOwn Skin, includes harvesting and preparation procedures, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.00 / $1,224.00 / $1,224.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.00 / $1,195.20 / $1,440.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.00 / $2,448.00 / $2,448.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.00 / $1,224.00 / $1,224.00
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
$386.49 / $1,195.20 / $1,863.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.49 / $386.49 / $386.49
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.15 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.49 / $1,238.40 / $2,569.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.00 / $1,500.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,380.00