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Florida rates for HCPCS Q4123

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.55 / $71.55 / $71.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.55 / $71.55 / $75.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.50 / $71.55 / $71.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.55 / $71.55 / $71.55
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.55 / $71.55 / $71.55
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.78 / $71.55 / $71.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $128.07 / $382.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.55 / $71.55 / $73.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.55 / $71.55 / $71.55