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California rates for HCPCS Q4261

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.79 / $600.79 / $600.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.07 / $600.79 / $615.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.07 / $660.51 / $723.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.26 / $615.26 / $615.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.26 / $615.26 / $615.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.00 / $393.93 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.84 / $1,447.68 / $2,714.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,750.59 / $2,750.59 / $3,257.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.79 / $723.84 / $723.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.26 / $615.26 / $904.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.84 / $723.84 / $1,374.43