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Oklahoma rates for HCPCS Q4128

Flex Hd Or Allopatch Hd Per Square Centimeter (Desc Revised 10/01/2022)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.29 / $32.29 / $32.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.21 / $32.29 / $32.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.22 / $28.22 / $29.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $29.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.15 / $34.81 / $52.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.47 / $30.70 / $135.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $29.91 / $32.97