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Oklahoma rates for HCPCS Q4121

TheraSkin, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.97 / $56.97 / $56.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.28 / $56.97 / $56.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.77 / $49.77 / $52.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $52.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.07 / $52.92 / $84.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.05 / $48.85 / $72.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $58.45