go back

Florida rates for HCPCS E0300

Pediatric Crib Hospital Grade Fully Enclosed With Or Without Top Enclosure (Revised 01/01/13)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.48 / $1,456.68 / $1,748.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.48 / $1,626.63 / $2,213.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.00 / $1,950.00 / $1,950.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.50 / $1,950.00 / $2,008.50
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,170.09 / $2,838.62 / $3,199.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.24 / $249.20 / $2,492.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.77 / $1,260.83 / $1,984.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,505.20 / $1,505.20 / $1,505.20