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Florida rates for HCPCS 31623

Brnchsc Brushing/Protected Brushings

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.36 / $2,379.00 / $9,143.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.04 / $225.92 / $376.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.78 / $71.12 / $108.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.00 / $789.58 / $939.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.38 / $242.75 / $475.10
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,561.00 / $4,821.00 / $9,360.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.42 / $193.31 / $340.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.76 / $289.45 / $390.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.00 / $3,611.00 / $8,105.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.25 / $343.18 / $574.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.07 / $208.86 / $208.86