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Georgia rates for HCPCS 01922

Anes Non-Invasive Imaging/Radiation Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $464.00 / $600.00
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$393.59 / $760.86 / $1,005.70
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$420.17 / $550.02 / $738.70
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$401.29 / $550.02 / $731.76
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$391.17 / $1,273.04 / $1,485.21
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$126.96 / $378.00 / $728.54
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$110.50 / $378.00 / $940.00
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$160.72 / $200.90 / $200.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.47 / $303.10 / $626.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.00 / $649.12 / $1,008.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$196.62 / $196.62 / $263.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$196.62 / $196.62 / $263.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$196.62 / $196.62 / $263.20