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Florida rates for HCPCS A6025

Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.96 / $11.76 / $17.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.27 / $12.50 / $17.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.52 / $14.90 / $21.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $10.49 / $12.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78