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Florida rates for HCPCS Q4259

Celera Dual Layer or Celera Dual Membrane, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.50 / $713.50 / $941.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $713.50 / $941.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.11 / $713.50 / $713.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $713.50 / $713.50
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.50 / $713.50 / $713.50
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.75 / $713.50 / $713.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $70.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.82 / $1,189.82 / $1,740.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $713.50 / $720.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $941.46 / $941.46