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Florida rates for HCPCS Q4195

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.94 / $97.94 / $107.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.94 / $97.94 / $107.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.40 / $97.94 / $97.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.94 / $97.94 / $97.94
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.94 / $97.94 / $97.94
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.89 / $94.19 / $97.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $149.25 / $535.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.94 / $97.94 / $100.17
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.94 / $107.92 / $107.92