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Georgia rates for HCPCS 45121

Prctect Compl W/Stot/Tot Colct W/Mlt Bxs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,742.13 / $5,045.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,583.48 / $1,935.58 / $3,534.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.95 / $3,595.87 / $8,313.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,745.39 / $2,666.52 / $4,642.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,518.89 / $2,518.89 / $2,518.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,633.24 / $1,633.24 / $1,633.24
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
$1,618.44 / $2,689.75 / $4,146.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,731.10 / $2,250.42 / $4,007.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $3,038.40 / $4,392.60
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
$1,650.09 / $2,241.01 / $3,919.98