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Oklahoma rates for HCPCS Q4178

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.56 / $96.56 / $96.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.30 / $96.56 / $96.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.35 / $84.35 / $89.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $89.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.56 / $105.59 / $225.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.48 / $93.11 / $436.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.92 / $89.41 / $98.59