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Georgia rates for HCPCS 15576

Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.86 / $4,592.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.58 / $740.42 / $1,324.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.80 / $1,467.80 / $1,467.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$992.53 / $2,628.21 / $5,240.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.34 / $902.96 / $1,681.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.20 / $817.06 / $1,506.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.72 / $845.33 / $1,233.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.00 / $3,250.00 / $5,272.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.56 / $1,041.65 / $1,967.26