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Missouri 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 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $588.84 / $616.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $109.65 / $154.88
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $724.44 / $1,584.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $724.44 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $645.65 / $724.44