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Florida rates for HCPCS Q4133

Grafix PRIME, GrafixPL PRIME, Stravix and StravixPL, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.18 / $138.74 / $6,414.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.74 / $138.74 / $151.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.88 / $138.74 / $138.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.74 / $138.74 / $138.74
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.74 / $138.74 / $138.74
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.30 / $146.59 / $146.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.53 / $203.19 / $341.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.74 / $138.74 / $140.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.18 / $136.18 / $138.74