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Oregon rates for HCPCS Q4249

Amniply, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.55 / $1,789.55 / $1,789.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $2,201.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.38 / $1,858.38 / $4,592.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $2,322.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $3,928.92 / $4,551.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.55 / $1,969.89 / $4,215.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $2,088.08 / $2,560.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.55 / $1,969.89 / $4,097.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,969.89 / $2,166.88 / $4,235.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,777.50 / $2,137.14 / $2,250,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,871.40 / $1,969.89 / $1,969.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $2,265.37