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Oklahoma rates for HCPCS Q4170

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.46 / $42.46 / $42.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.71 / $42.46 / $42.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.09 / $37.09 / $39.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $39.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.88 / $47.12 / $969.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.55 / $41.55 / $3,990.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $44.42