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Georgia rates for HCPCS 15860

Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $3,630.78 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,238.72 / $3,548.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $131.83 / $338.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$2.82 / $2.82 / $5.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $1,513.56 / $2,511.89