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Oklahoma rates for HCPCS Q4180

Revita Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.61 / $708.61 / $708.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.69 / $708.61 / $708.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.98 / $618.98 / $656.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.12 / $656.12 / $656.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.49 / $1,177.28 / $1,668.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.14 / $1,090.07 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.12 / $656.12 / $723.50