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Oklahoma rates for HCPCS Q4124

Oasis Tri-Layer Wound Matrix

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $2.68 / $2.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.68 / $2.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.35 / $2.35 / $2.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $2.49 / $2.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $2.81 / $1,880.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.48 / $5,398.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.49 / $2.75