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Florida rates for HCPCS Q4101

Apligraf Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.23 / $1,662.64 / $4,016.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.23 / $33.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $30.23 / $30.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.23 / $30.23
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.23 / $30.23 / $30.23
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.97 / $31.94 / $31.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.62 / $42.93 / $64.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.23 / $30.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.30 / $30.30