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Oklahoma rates for HCPCS Q4227

AmnioCore, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.35 / $1,266.35 / $1,266.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,266.35 / $1,266.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.19 / $1,106.19 / $1,172.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,172.56 / $1,172.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.39 / $1,321.55 / $1,876.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.94 / $1,165.39 / $4,725.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,172.56 / $1,437.56