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Oklahoma rates for HCPCS Q4160

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,914.29 / $3,007.13 / $3,007.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $3,007.13 / $3,007.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,626.77 / $2,626.77 / $2,784.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,784.38 / $2,784.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.16 / $572.40 / $1,986.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.65 / $530.00 / $540.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,784.38 / $3,070.34