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Oklahoma rates for HCPCS C9364

Porcine implant, Permacol, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.52 / $17.52 / $17.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.52 / $17.52 / $17.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.52 / $18.39 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.19 / $82.19 / $82.19