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Oklahoma rates for HCPCS Q4199

Cygnus matrix, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.04 / $120.04 / $120.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.26 / $120.04 / $120.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.86 / $104.86 / $111.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $111.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.68 / $147.71 / $474.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.26 / $130.26 / $1,606.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $122.57