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Oklahoma rates for HCPCS Q4108

Integra Matrix Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.63 / $41.63 / $41.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.93 / $41.63 / $41.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.36 / $36.36 / $38.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.41 / $53.05 / $74.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.54 / $49.12 / $197.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $42.50