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Oklahoma rates for HCPCS Q4201

Matrion 1 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.18 / $82.18 / $82.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.84 / $82.18 / $82.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.78 / $71.78 / $76.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $76.09 / $76.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.57 / $89.85 / $335.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.14 / $79.23 / $1,274.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.47 / $142.47 / $142.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.12 / $76.09 / $83.90