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Florida rates for HCPCS Q4258

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.41 / $89.75 / $89.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $94.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.67 / $89.75 / $89.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $89.75 / $89.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.01 / $128.56 / $384.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.81 / $71.81 / $71.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.41 / $82.41 / $89.75