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Oklahoma rates for HCPCS Q4247

AmnioText EX SHEE 1 CM X 1 CM

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,980.80 / $2,980.80 / $2,980.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,980.80 / $2,980.80 / $3,017.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,128.00 / $3,128.00 / $3,128.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,128.00 / $3,128.00 / $3,128.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $1,417.38 / $1,667.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.00 / $3,200.00 / $4,991.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,200.00 / $3,200.00 / $3,545.60