go back

Oklahoma rates for HCPCS Q4173

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.94 / $376.94 / $376.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.51 / $376.94 / $376.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.26 / $329.26 / $349.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.01 / $349.01 / $349.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.08 / $404.33 / $810.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.64 / $356.55 / $2,835.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $349.02 / $384.86