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Florida rates for HCPCS Q4219

Surgigraft-Dual Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $996.00 / $996.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.00 / $996.00 / $1,020.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $1,020.00 / $1,020.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.00 / $1,020.00 / $1,020.00
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $1,020.00 / $1,020.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.00 / $849.99 / $1,020.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $50.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.99 / $788.99 / $788.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.99 / $788.99 / $796.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.84 / $100.84 / $100.84