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Georgia rates for HCPCS 21147

Rcnstj Midface Lefort I 3/> Piece W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,225.00 / $5,063.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,530.03 / $1,845.70 / $3,819.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,478.38 / $5,842.74 / $17,934.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,661.95 / $2,362.87 / $4,320.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,529.57 / $2,529.57 / $2,529.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $1,910.77 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,704.94 / $2,730.42 / $4,350.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.41 / $2,656.74 / $4,895.62
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
$1,514.45 / $2,287.13 / $3,885.19