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Oklahoma rates for HCPCS Q4226

MyOwn Skin, includes harvesting and preparation procedures, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.40 / $1,166.40 / $1,166.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.40 / $1,166.40 / $1,180.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.00 / $1,224.00 / $1,224.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.00 / $1,224.00 / $1,224.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.40 / $1,224.72 / $1,458.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $5,472.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.20 / $1,200.00 / $1,356.00