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Oklahoma rates for HCPCS Q4175

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.86 / $98.86 / $98.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $98.86 / $98.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.36 / $86.36 / $91.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $91.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.13 / $76.79 / $178.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.08 / $67.72 / $304.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $100.94