go back

Oklahoma 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
$588.84 / $588.84 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $588.84 / $616.60
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
$588.84 / $616.60 / $831.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $645.65 / $724.44