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Georgia rates for HCPCS 21047

Exc B9 Tum/Cst Mndbl Xtr-Oral Osteot&Prtl Mndb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,575.00 / $4,368.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.58 / $1,367.50 / $3,739.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$989.09 / $3,392.46 / $8,545.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.32 / $1,848.78 / $3,135.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,045.38 / $2,045.38 / $2,045.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $1,370.78 / $4,013.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.93 / $2,076.80 / $3,210.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.30 / $2,014.63 / $5,401.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $7,794.00 / $14,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.74 / $1,817.02 / $2,746.06