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Oklahoma rates for HCPCS Q4258

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.93 / $96.93 / $96.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $96.93 / $96.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.67 / $84.67 / $89.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.01 / $93.46 / $1,668.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.81 / $82.41 / $1,668.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $98.97