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Florida rates for HCPCS A2013

InnovaMatrix FS, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,348.96 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,348.96 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $97.72 / $1,148.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $199.53 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,513.56 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $1,348.96 / $1,348.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $1,000.00 / $1,000.00