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Kentucky 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
$579.07 / $579.07 / $579.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.07 / $579.07 / $600.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.01 / $723.84 / $723.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.11 / $93.11 / $93.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.98 / $76.48 / $93.12
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.84 / $723.84 / $745.56