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Oklahoma rates for HCPCS Q4159

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.35 / $221.35 / $221.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.00 / $221.35 / $221.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.50 / $1,367.81 / $2,182.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.35 / $193.35 / $204.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $204.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.99 / $266.69 / $1,266.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.17 / $235.17 / $534.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $226.01