go back

Florida rates for HCPCS Q4106

Dermagraft, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.96 / $37.29 / $37.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.96 / $37.29 / $38.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $44.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.94 / $44.94 / $44.94
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.97 / $45.97 / $45.97
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $23.53 / $44.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.95 / $48.68 / $73.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.94 / $50.94 / $50.94
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.95 / $38.95 / $38.95