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Florida rates for HCPCS C5271

Application Of Low Cost Skin Substitute Graft To Trunk Arms Legs Total Wound Surface Area Up To 100 Sq Cm; First 25 Sq Cm Or Less Wound Surface Area

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.28 / $3,401.00 / $10,632.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.50 / $29.94 / $37.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.70 / $327.23 / $389.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.20 / $13.20 / $13.20
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.33 / $466.48 / $504.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $1,950.00 / $4,970.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $16.00 / $16.00