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Florida rates for HCPCS G0416

Surgical Pathology Gross And Microscopic Examinations For Prostate Needle Biopsy Any Method (Revised 11/11/2014) Revised 1/1/2014

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$394.26 / $394.26 / $394.26
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$952.19 / $952.19 / $952.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.45 / $436.78 / $773.34
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.49 / $173.56 / $325.26
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$157.18 / $236.23 / $490.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.88 / $182.62 / $256.33
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.37 / $198.54 / $270.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.16 / $326.16 / $326.16
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$153.56 / $153.56 / $153.56
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.60 / $172.60 / $172.60
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.77 / $512.65 / $1,156.96
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$132.22 / $196.71 / $247.10
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.03 / $319.56 / $804.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.80 / $252.13 / $453.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.64 / $316.58 / $843.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.43 / $112.57 / $371.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$92.47 / $178.64 / $454.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.81 / $173.81 / $173.81
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.73 / $74.73 / $74.73
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.07 / $99.07 / $99.07