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Georgia rates for HCPCS 21401

Closed Tx Fx Orbit Except Blowout W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.62 / $4,592.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.52 / $474.98 / $883.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.93 / $2,533.21 / $5,240.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.21 / $462.54 / $849.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.15 / $695.57 / $1,028.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.65 / $557.65 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.41 / $568.29 / $1,066.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.25 / $599.03 / $1,237.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $3,218.00 / $5,272.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.44 / $649.11 / $1,142.50