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Georgia rates for HCPCS 40804

Rmvl Embedded Fb Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.59 / $4,592.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.59 / $197.20 / $365.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.49 / $2,152.57 / $4,143.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.13 / $246.46 / $410.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.41 / $249.56 / $439.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.11 / $220.52 / $273.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.00 / $3,218.00 / $5,272.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.81 / $275.30 / $463.62