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North Carolina 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
$593.54 / $615.26 / $615.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $49.76 / $60.00
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.69 / $615.26 / $796.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.69 / $506.69 / $506.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.96 / $1,194.96 / $1,194.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.84 / $723.84 / $940.99
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.84 / $1,085.76 / $1,447.68
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,750.59 / $2,750.59 / $3,257.28