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Georgia rates for HCPCS 25490

Proph Tx N/P/Pltwr W/Wo Methylacrylate Radius

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.49 / $5,045.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.87 / $791.72 / $1,497.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.01 / $5,435.54 / $12,227.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.85 / $1,087.20 / $1,963.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,259.33 / $1,520.27 / $2,096.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.71 / $821.71 / $4,830.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.86 / $1,149.49 / $1,839.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.89 / $1,218.74 / $1,789.02
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
$636.23 / $1,054.40 / $1,750.46