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Iowa rates for HCPCS Q4261

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.07 / $579.07 / $615.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.26 / $869.33 / $869.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $275.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.07 / $723.84 / $984.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.84 / $723.84 / $1,447.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$869.33 / $869.33 / $869.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.33 / $869.33 / $869.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.84 / $723.84 / $781.75
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.84 / $723.84 / $723.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.83 / $723.84 / $723.84