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Oklahoma rates for HCPCS Q4233

SurFactor or NuDyn, per 0.5 cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,626.00 / $10,626.00 / $10,626.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00