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Oklahoma rates for HCPCS Q4188

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.59 / $526.59 / $526.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.60 / $526.59 / $526.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.99 / $459.99 / $487.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $487.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.59 / $552.91 / $980.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.57 / $487.59 / $2,386.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $537.66