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Georgia rates for HCPCS 42890

Limited Pharyngectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,619.61 / $5,063.00 / $9,488.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.00 / $3,392.46 / $7,513.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.31 / $1,978.31 / $1,978.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.00 / $1,396.00 / $3,685.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,381.10 / $1,795.43 / $3,233.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.00 / $5,664.00 / $11,889.00