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Oklahoma rates for HCPCS Q4169

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,233.94 / $2,233.94 / $2,233.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,233.94 / $2,233.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,951.39 / $1,951.39 / $2,068.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,068.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.80 / $2,398.21 / $3,324.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,220.57 / $2,220.57 / $11,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,987.80 / $2,068.46 / $2,280.90