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Florida rates for HCPCS Q4194

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.63 / $663.63 / $717.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $729.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.05 / $663.63 / $663.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $663.63
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.63 / $663.63 / $663.63
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $904.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $70.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $670.27
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $717.78 / $717.78