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Wisconsin rates for HCPCS Q4261

Tag, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.07 / $579.07 / $579.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.07 / $579.07 / $615.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.07 / $687.65 / $723.84
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
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.07 / $586.30 / $862.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.07 / $586.30 / $868.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.84 / $723.84 / $1,520.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.07 / $579.07 / $862.81
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,900.00 / $5,900.00 / $5,900.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.26 / $723.84 / $2,714.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.26 / $767.27 / $2,750.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.84 / $723.84 / $868.61