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Georgia rates for HCPCS 57295

Revj/Rmvl Prosthetic Vaginal Graft Vaginal App

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.91 / $5,063.00 / $7,068.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.37 / $2,722.51 / $5,292.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.90 / $2,114.90 / $2,114.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.14 / $642.38 / $1,342.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $4,826.00 / $7,889.00