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Florida rates for HCPCS L3255

Non-Standard Size Or Length (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.14 / $19.14 / $24.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.14 / $19.57 / $24.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.72 / $23.72 / $23.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $17.32 / $23.72
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99,999.99 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99,999.99 / $99,999.99 / $99,999.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $3.38 / $3.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $3.38 / $3.38