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Virginia 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
$579.07 / $615.26 / $615.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.07 / $579.07 / $772.94
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.38 / $651.79 / $651.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.26 / $723.84 / $937.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.65 / $723.84 / $723.84
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.84 / $723.84 / $760.03