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Florida rates for HCPCS 15572

Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.24 / $4,003.00 / $11,481.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.14 / $730.19 / $1,031.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.00 / $1,951.00 / $2,322.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.40 / $847.37 / $1,348.73
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,759.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.04 / $680.65 / $1,039.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.98 / $628.03 / $1,044.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,637.00 / $8,267.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.13 / $821.52 / $1,515.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.39 / $681.72 / $681.72