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Oklahoma rates for HCPCS Q4153

Dermavest And Plurivest Per Square Centimeter (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.96 / $148.96 / $148.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.31 / $148.96 / $148.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.12 / $130.12 / $137.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $137.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.29 / $123.15 / $220.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.60 / $108.60 / $1,027.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $152.10