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Oklahoma rates for HCPCS Q4102

Oasis Wound Matrix

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.83 / $12.83 / $12.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.83 / $12.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.21 / $11.21 / $11.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.88 / $11.88 / $11.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.53 / $13.27 / $20.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.53 / $11.70 / $1,591.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.42 / $11.88 / $13.42