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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
$10.00 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $14.79 / $19.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $39.81 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $10.47 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.47 / $14.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79