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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
$38.02 / $38.90 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $85.11 / $131.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $58.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $61.66 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $61.66 / $125.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $134.90