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Georgia rates for HCPCS 21175

Rcnstj Bifrontal Superior-Lat Orb Rims & Lwr Fhd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,771.00 / $5,063.00 / $7,421.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.17 / $2,443.35 / $5,341.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,376.26 / $4,412.76 / $8,702.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,184.85 / $3,182.85 / $5,652.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,263.73 / $3,263.73 / $3,263.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $2,486.26 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,299.50 / $3,524.60 / $5,663.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,388.77 / $3,337.88 / $6,379.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,845.00 / $7,766.00 / $11,889.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.24 / $2,999.20 / $4,936.13