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Florida rates for HCPCS A9604

Sm 153 Lexidronam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,631.57 / $16,217.75 / $16,217.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,631.57 / $16,217.75 / $16,608.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,608.54 / $16,608.54 / $16,608.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,608.54 / $16,608.54 / $16,608.54
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,976.30 / $17,976.30 / $17,976.30
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,834.59 / $17,976.30 / $17,976.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $32,177.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,282.88 / $16,282.88 / $17,097.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,054.88 / $19,054.88 / $19,054.88