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Georgia rates for HCPCS 21255

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,825.91 / $5,045.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.99 / $1,461.24 / $3,032.71
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
$1,310.86 / $1,916.16 / $3,391.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,265.98 / $2,743.35 / $3,731.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $1,490.92 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.73 / $2,210.94 / $3,397.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.60 / $2,190.67 / $3,761.57
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
$1,205.27 / $1,922.34 / $2,961.57