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Texas 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
$579.07 / $593.54 / $593.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.07 / $593.54 / $615.26
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.84 / $1,447.68 / $2,714.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,750.59 / $2,750.59 / $3,257.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.65 / $723.84 / $1,258.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.10 / $205.54 / $302.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.54 / $723.84 / $1,258.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.26 / $615.26 / $615.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.84 / $723.84 / $733.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.36 / $633.36 / $855.04