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Oklahoma rates for HCPCS Q4161

bio-ConneKt wound matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,717.78 / $1,717.78 / $1,717.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,717.78 / $1,717.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.51 / $1,500.51 / $1,590.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,590.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,653.82 / $1,875.43 / $3,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,589.32 / $1,653.82 / $11,400.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,528.51 / $1,590.54 / $1,853.66