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Florida rates for HCPCS Q4165

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.59 / $44.19 / $44.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.59 / $44.19 / $45.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.25 / $45.25 / $45.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.25 / $45.25 / $45.25
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.25 / $45.25 / $45.25
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.29 / $30.58 / $32.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.36 / $44.36 / $44.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $8.19 / $8.19