go back

Georgia rates for HCPCS 22102

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Lmbr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,184.42 / $5,045.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.01 / $5,516.40 / $12,227.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,225.65 / $1,225.65 / $1,225.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.98 / $2,225.00 / $57,200.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$87.09 / $87.09 / $87.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.08 / $1,281.44 / $1,879.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$30.07 / $30.07 / $30.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.00 / $9,172.00 / $18,613.00