go back

Oklahoma rates for HCPCS Q4113

Graftjacket Xpress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.98 / $726.98 / $726.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.98 / $726.98 / $744.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.98 / $763.33 / $919.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,997.50 / $1,997.50 / $3,410.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,919.60 / $1,997.50 / $2,257.17