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Florida rates for HCPCS Q4248

Dermacyte amniotic membrane allograft, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.20 / $555.20 / $2,824.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.20 / $555.20 / $1,003.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.78 / $555.20 / $555.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.20 / $555.20 / $555.20
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.20 / $555.20 / $555.20
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.32 / $586.63 / $586.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $5,006.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.20 / $555.20 / $555.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.20 / $2,824.50 / $2,824.50