go back

Florida rates for HCPCS Q4256

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.05 / $735.05 / $813.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.05 / $735.05 / $813.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.44 / $735.05 / $735.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.05 / $735.05 / $735.05
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.04 / $735.04 / $735.04
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.53 / $735.05 / $735.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.18 / $1,673.69 / $5,002.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.05 / $735.05 / $735.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.05 / $813.21 / $813.21