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Oklahoma rates for HCPCS Q4257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.29 / $988.29 / $988.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.24 / $988.29 / $988.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.29 / $863.29 / $915.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $915.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.88 / $740.12 / $1,668.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.94 / $652.66 / $3,610.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $1,009.07