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Oklahoma rates for HCPCS Q4217

WoundFix, BioWound, WoundFix Plus, BioWound Plus, WoundFix Xplus or BioWound Xplus, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.44 / $343.44 / $343.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.18 / $343.44 / $343.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $300.00 / $318.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $318.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.44 / $360.61 / $1,450.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.51 / $318.00 / $1,994.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.60 / $318.00 / $350.66