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Oklahoma rates for HCPCS Q4235

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.02 / $95.02 / $95.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.86 / $95.02 / $95.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.00 / $83.00 / $87.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $87.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.92 / $91.27 / $147.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.48 / $80.48 / $558.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $98.27