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Florida rates for HCPCS Q4139

AmnioMatrix or BioDMatrix, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,820.00 / $1,820.00 / $1,820.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.00 / $1,820.00 / $1,820.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $50.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $6.26 / $6.26