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Oregon rates for HCPCS Q4254

Novafix dl per sq cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.88 / $355.88 / $412.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.00 / $816.00 / $816.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
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
$355.88 / $355.88 / $554.99
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.88 / $355.88 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.88 / $373.67 / $765.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $600.00 / $600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.00 / $480.00 / $552.00