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Florida rates for HCPCS Q4103

Oasis Burn Matrix

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.38 / $12.49 / $12.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $12.49 / $13.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.78 / $12.49 / $12.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $12.49 / $12.49
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.49 / $12.49 / $12.49
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $12.49 / $12.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.67 / $22.43 / $67.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $12.49 / $12.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.38 / $12.38 / $12.49