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Oklahoma rates for HCPCS Q4148

Neox Cord 1k Neox Cord Rt Or Clarix Cord 1k Persquare Centimeter (Desc Revised 1/1/2018)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.71 / $133.71 / $133.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.04 / $133.71 / $133.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.79 / $116.79 / $123.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $123.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.15 / $142.96 / $270.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.14 / $126.06 / $3,125.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $136.51