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Georgia rates for HCPCS 28264

Capsulotomy Midtarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.06 / $2,800.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.08 / $2,292.94 / $5,240.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.10 / $1,411.89 / $1,958.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $1,153.31 / $1,174.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.08 / $1,154.95 / $2,174.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $7,794.00 / $14,048.00