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Oklahoma rates for HCPCS Q4117

Hyalomatrix Per Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.24 / $23.24 / $23.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $23.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.39 / $24.39 / $24.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.39 / $24.39 / $24.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.24 / $24.40 / $33.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $109.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $31.64