go back

Oklahoma rates for HCPCS Q4200

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.00 / $1,009.00 / $1,009.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00