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Florida rates for HCPCS Q4111

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.12 / $7.87 / $7.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $8.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.43 / $7.87 / $7.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $7.87
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.87 / $7.87 / $7.87
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $8.32 / $8.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.32 / $13.60 / $40.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $7.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.12 / $7.12 / $7.87