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Georgia rates for HCPCS 25455

Epiphysl Arrst Epiphysiod/Stapling Dstl Rds&Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.94 / $5,045.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.90 / $789.41 / $1,460.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.02 / $2,986.70 / $6,315.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.68 / $1,059.58 / $1,885.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,278.66 / $1,545.41 / $2,102.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.48 / $835.48 / $2,172.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.51 / $1,108.21 / $1,868.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.03 / $1,229.46 / $1,818.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,845.00 / $7,357.00 / $11,889.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.20 / $1,014.88 / $1,664.07