go back

Oregon rates for HCPCS Q4257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.66 / $652.66 / $652.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $988.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.17 / $863.29 / $989.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $1,079.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.83 / $1,396.87 / $1,595.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.66 / $915.09 / $1,958.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $969.99 / $1,143.85
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.01 / $915.09 / $1,899.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.65 / $915.09 / $1,967.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.65 / $765.72 / $2,250,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.34 / $915.09 / $915.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $1,052.34