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Georgia rates for HCPCS 22103

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.67 / $5,063.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.00 / $1,298.47 / $3,132.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.49 / $232.49 / $232.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.81 / $2,225.00 / $57,200.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$14.95 / $14.95 / $14.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.41 / $221.86 / $435.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$5.21 / $5.21 / $5.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $1,550.00 / $2,665.00