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Florida rates for HCPCS Q4196

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.54 / $101.03 / $7,487.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.03 / $101.03 / $108.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.31 / $101.03 / $101.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.03 / $101.03 / $101.03
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.03 / $101.03 / $101.03
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.03 / $101.03 / $110.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $157.13 / $564.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.03 / $101.03 / $102.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.54 / $101.03 / $101.03