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Oklahoma rates for HCPCS Q4184

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.44 / $86.44 / $86.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.84 / $86.44 / $86.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.51 / $75.51 / $80.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.44 / $90.76 / $589.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $2,756.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $90.45