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Maine 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
$593.54 / $615.26 / $615.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.07 / $651.46 / $660.51
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.26 / $615.26 / $615.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.26 / $615.26 / $615.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.26 / $723.84 / $1,049.57