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Oklahoma rates for HCPCS A6025

Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.16 / $10.16 / $10.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.85 / $10.01 / $10.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.41 / $23.41 / $23.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.01 / $11.42 / $27.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $12.62 / $159.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $9.31 / $18.66