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Oklahoma rates for HCPCS Q4187

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.93 / $264.93 / $967.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.76 / $264.93 / $272.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.42 / $231.42 / $245.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $245.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.22 / $280.82 / $423.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.49 / $241.87 / $357.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.73 / $245.30 / $270.49