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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
$1,548.82 / $1,548.82 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,584.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $147.91 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,548.82 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $1,318.26 / $1,445.44