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Georgia rates for HCPCS 0558T

Computed tomography scan taken for the purpose of biomechanical computed tomography analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.00 / $691.00 / $1,455.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $275.00 / $275.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.44 / $517.40 / $1,017.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.74 / $241.38 / $356.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.05 / $204.31 / $709.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.94 / $997.94 / $1,064.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.45 / $352.74 / $899.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.04 / $276.39 / $527.50