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Oklahoma rates for HCPCS Q4229

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.26 / $498.26 / $498.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $498.26 / $498.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.24 / $435.24 / $461.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $461.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.74 / $374.58 / $1,668.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.31 / $330.31 / $3,610.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.37 / $461.36 / $508.74