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Oklahoma rates for HCPCS Q4225

AmnioBind or DermaBind TL, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,541.65 / $1,541.65 / $1,541.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,541.65 / $1,541.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.65 / $1,346.65 / $1,427.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.39 / $1,554.41 / $2,283.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.27 / $1,370.73 / $6,612.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,288.69 / $2,288.69 / $2,288.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.08 / $1,427.45 / $1,574.05