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Florida rates for HCPCS Q4250

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,901.66 / $2,979.56 / $2,979.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,979.56 / $2,979.56 / $3,128.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,810.90 / $2,979.55 / $2,979.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,979.55 / $2,979.55 / $2,979.55
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,979.56 / $2,979.56 / $2,979.56
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,574.11 / $3,148.21 / $3,148.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,266.06 / $5,125.00 / $15,317.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,979.56 / $2,979.56 / $3,009.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,901.66 / $2,901.66 / $2,979.56