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Florida rates for HCPCS Q4188

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.59 / $487.59 / $487.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $511.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.99 / $487.59 / $487.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $487.59
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.59 / $487.59 / $487.59
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $758.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $70.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $492.47
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $487.59