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Oklahoma rates for HCPCS Q4152

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.77 / $54.77 / $54.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $54.77 / $54.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.84 / $47.84 / $50.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $50.71 / $50.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.04 / $51.49 / $226.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.41 / $45.41 / $229.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.18 / $50.72 / $55.93