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Florida rates for HCPCS Q4110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.41 / $65.41 / $65.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $65.41 / $68.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.70 / $65.40 / $65.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.40 / $65.40 / $65.40
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.40 / $65.40 / $65.40
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.56 / $69.11 / $69.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $97.46 / $349.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $65.41 / $65.41
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $65.41 / $65.41