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Idaho 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
$615.26 / $615.26 / $615.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.07 / $615.26 / $622.50
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.79 / $653.63 / $787.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,000.00 / $3,900.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.84 / $723.84 / $723.84