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Oklahoma rates for HCPCS Q4251

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.80 / $145.80 / $145.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.80 / $145.80 / $147.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.80 / $153.09 / $182.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $180.00 / $684.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $180.00 / $198.49