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Georgia rates for HCPCS 35304

Teaec W/Graft Tibioperoneal Trunk Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.42 / $5,045.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,538.99 / $5,012.33 / $10,649.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,225.27 / $2,617.96 / $3,054.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.84 / $1,725.61 / $4,019.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.00 / $3,629.00 / $10,000.00