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Oregon rates for HCPCS Q4258

Enverse, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.41 / $82.41 / $82.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $101.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.67 / $103.89 / $143.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $105.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.65 / $193.20 / $212.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.41 / $89.75 / $1,834.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $95.13 / $112.19
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.47 / $89.75 / $186.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.59 / $89.75 / $1,834.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.59 / $91.78 / $2,250,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.26 / $89.75 / $89.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $103.21