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Georgia rates for HCPCS 43622

Gstrct Tot W/Frmj Intstinal Pouch Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,303.50 / $5,045.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,115.42 / $2,568.44 / $4,681.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.95 / $3,801.18 / $10,304.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,284.90 / $3,493.29 / $5,850.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,322.97 / $3,322.97 / $3,322.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,163.44 / $2,163.44 / $2,163.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $617.00 / $1,233.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,128.87 / $3,533.18 / $5,472.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,284.90 / $2,970.37 / $5,346.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $3,989.30 / $5,773.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $2,969.00 / $9,079.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,159.17 / $2,981.72 / $5,093.85