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Oklahoma rates for HCPCS Q4158

Kerecis Omega3, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.65 / $72.65 / $72.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.95 / $72.65 / $72.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.47 / $63.47 / $67.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $67.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.31 / $75.20 / $207.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.62 / $66.31 / $779.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $74.18