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Florida rates for HCPCS Q4253

Zenith Amniotic Membrane, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.79 / $75.79 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.79 / $75.79 / $83.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.50 / $75.79 / $75.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.79 / $75.79 / $75.79
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.79 / $75.79 / $75.79
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $75.79 / $75.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $127.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.79 / $75.79 / $75.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.79 / $83.18 / $83.18