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Florida rates for HCPCS Q4108

Integra matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.54 / $38.54 / $5,312.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $49.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.36 / $38.54 / $38.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.27 / $38.54 / $38.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $75.22 / $270.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.93
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $49.12 / $49.12