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Florida rates for HCPCS A6504

Compression burn garment, glove to wrist, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.00 / $90.00 / $90.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $90.00 / $90.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.38 / $124.38 / $124.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.80 / $90.80 / $90.80
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99,999.99 / $99,999.99 / $99,999.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $50.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00