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Florida rates for HCPCS 40702

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 2 Stgs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.12 / $4,696.00 / $11,550.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.32 / $940.04 / $1,336.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $2,907.91 / $3,461.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.76 / $1,082.30 / $1,658.45
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
$446.53 / $783.72 / $1,198.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.85 / $908.19 / $1,242.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,320.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.80 / $891.14 / $1,650.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.14 / $774.14 / $774.14