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Georgia rates for HCPCS 15004

Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.56 / $2,862.50 / $6,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.83 / $373.79 / $706.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.41 / $672.41 / $672.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.49 / $2,098.00 / $3,851.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.31 / $438.04 / $758.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.55 / $393.45 / $755.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.48 / $420.26 / $885.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$6.85 / $6.85 / $10.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.47 / $487.65 / $673.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.00 / $1,580.00 / $2,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.10 / $528.12 / $906.45