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Florida rates for HCPCS Q4199

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.15 / $111.15 / $130.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $130.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.86 / $111.15 / $111.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $111.15
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.15 / $111.15 / $111.15
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.58 / $111.15 / $111.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $595.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $112.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $130.26 / $130.26