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Oklahoma rates for HCPCS Q4114

Integra flowable wound matrix, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,613.96 / $1,613.96 / $1,613.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.35 / $1,613.96 / $1,613.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,409.82 / $1,409.82 / $1,494.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,494.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,665.62 / $1,832.18 / $2,716.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.09 / $1,542.24 / $7,066.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,647.89