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Oklahoma rates for HCPCS Q4156

Neox 100 or Clarix 100, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.15 / $71.15 / $71.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.54 / $71.15 / $71.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.15 / $62.15 / $65.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.86 / $71.65 / $180.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.76 / $66.34 / $3,978.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.31 / $65.88 / $74.44