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Florida rates for HCPCS 88304

Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity

Facilitymedian $79 · 10th–90th $31$910%50%10th90th$79Professionalmedian $35 · 10th–90th $10$1170%10%10th90th$35$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $79.43
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $87.10 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $48.98 / $218.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $23.99 / $89.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $30.20 / $81.28
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $26.30 / $58.88
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.37 / $11.75 / $19.05
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.79 / $18.62 / $19.50
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $43.65 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $34.67 / $75.86
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.62 / $9.55 / $19.05
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $24.55 / $60.26
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $45.71 / $109.65
Florida Blue
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.13 / $12.88 / $20.42
Florida Blue
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $33.88 / $89.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $32.36 / $43.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $13.18 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $33.88 / $95.50
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.50 / $7.59 / $30.20
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.79 / $24.55 / $60.26
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $32.36 / $41.69
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$3.80 / $8.51 / $10.72
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$10.96 / $23.99 / $31.62