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Oklahoma rates for HCPCS Q4138

Biodfence Dryflex Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.96 / $105.96 / $105.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.09 / $105.96 / $105.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.55 / $92.55 / $98.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $98.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.43 / $113.85 / $282.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.26 / $100.40 / $1,073.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.28 / $98.11 / $108.19