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Oklahoma rates for HCPCS A2015

Phoenix wound matrix, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.49 / $54.49 / $54.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.49 / $60.96 / $69.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.24 / $785.24 / $785.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.49 / $69.36 / $1,977.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.66 / $1,438.66 / $4,904.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.66 / $1,438.66 / $1,586.41