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Ohio 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 / $602.56 / $616.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $741.31 / $1,258.93
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
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $724.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $87.10 / $131.83
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $144.54 / $158.49
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $144.54 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $724.44 / $724.44