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Oklahoma rates for HCPCS Q4166

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.57 / $21.57 / $21.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $21.57 / $21.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $18.84 / $19.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $23.64 / $34.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $20.85 / $90.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $22.57