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Oregon rates for HCPCS Q4235

Amniorepair or altiply, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.48 / $80.48 / $80.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $98.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.00 / $134.63 / $189.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $103.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.91 / $196.42 / $272.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.48 / $87.98 / $188.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $93.26 / $114.37
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.48 / $91.30 / $240.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.98 / $96.78 / $189.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $154.77 / $2,250,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.58 / $87.98 / $87.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $105.58