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Florida rates for HCPCS 12021

Tx Superficial Wound Dehiscence W/Packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.81 / $3,261.00 / $10,802.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.64 / $136.82 / $211.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.63 / $154.63 / $169.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.74 / $214.12 / $323.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.67 / $170.09 / $268.88
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,752.00 / $2,882.00 / $6,066.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.41 / $134.03 / $204.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.95 / $155.91 / $206.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $1,950.00 / $4,970.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.48 / $158.55 / $275.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.33 / $146.32 / $146.32