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Georgia rates for HCPCS 21089

Unlisted Maxillofacial Prosthetic Procedure

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.14 / $2,139.92 / $4,143.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $500.00 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,117.16 / $2,117.16 / $2,117.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $1,550.00 / $2,665.00