go back

West 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
$77.62 / $77.62 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $602.56 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,148.15 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $724.44 / $724.44