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Oklahoma rates for HCPCS Q4137

Amnioexcel Aminoexcel Plus Or Biodexcel Per Square Centimeter (Desc Rvsd 1/1/19)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.85 / $109.85 / $109.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.73 / $109.85 / $109.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.96 / $95.96 / $101.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $101.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $114.21 / $270.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.72 / $100.72 / $148.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.75 / $101.72 / $113.93