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Florida rates for HCPCS Q4257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.66 / $915.09 / $915.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $951.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.29 / $915.09 / $915.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $915.09
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.09 / $915.09 / $915.09
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.55 / $915.09 / $915.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.46 / $885.94 / $2,647.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $924.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.66 / $652.66 / $915.09