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Oklahoma rates for HCPCS A2016

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $93.33 / $123.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $125.89 / $125.89