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Oklahoma rates for HCPCS Q4147

Architect, Architect PX, or Architect FX, extracellular matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.28 / $46.28 / $46.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.28 / $46.28 / $48.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.56 / $48.56 / $48.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.56 / $48.56 / $48.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.28 / $48.59 / $242.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.13 / $1,576.28 / $1,670.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.27 / $57.13 / $63.00