go back

Oklahoma rates for HCPCS A2007

Restrata, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.02 / $196.02 / $196.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.02 / $196.02 / $198.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.70 / $205.70 / $205.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.70 / $205.70 / $205.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.22 / $205.82 / $242.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $220.00 / $961.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $220.00 / $242.59