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Oklahoma rates for HCPCS Q4141

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.53 / $115.53 / $115.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.04 / $115.53 / $115.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.91 / $100.91 / $106.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $106.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.93 / $73.43 / $155.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.86 / $64.75 / $252.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $131.15