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Florida rates for HCPCS Q4247

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,384.03 / $3,054.40 / $3,054.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,539.19 / $3,054.40 / $3,128.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,128.00 / $3,128.00 / $3,128.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,128.00 / $3,128.00 / $3,128.00
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,128.00 / $3,128.00 / $3,128.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,564.00 / $3,128.00 / $3,128.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $70.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,200.00 / $3,200.00 / $3,200.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.00 / $530.00 / $530.00