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Georgia rates for HCPCS 53661

Dilat Female Urt W/Suppository&/Instlj Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.50 / $4,590.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.90 / $76.43 / $132.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $125.00 / $125.00
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
$49.88 / $87.19 / $153.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.66 / $91.56 / $179.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.98 / $80.25 / $111.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.00 / $1,550.00 / $2,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.72 / $109.29 / $175.82