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Florida rates for HCPCS C5273

Application Of Low Cost Skin Substitute Graft To Trunk Arms Legs Total Wound Surface Area Greater Than Or Equal To 100 Sq Cm; First 100 Sq Cm Wound Surface Area Or 1% Of Body Area Of Infants And Children

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.00 / $4,476.96 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,575.67 / $1,575.67 / $1,575.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $977.92 / $1,164.19
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,297.33 / $1,383.82 / $1,496.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.00 / $3,611.00 / $8,105.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $16.00 / $16.00