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Indiana 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
$575.44 / $575.44 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $588.84 / $616.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $380.19 / $512.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $724.44 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $616.60 / $724.44