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Georgia rates for HCPCS 58200

Tot Abd Hyst W/Paraortic & Pelvic Lymph Node Sam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,489.86 / $5,367.00 / $9,512.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,732.27 / $6,472.76 / $14,965.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.12 / $1,731.76 / $3,307.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.00 / $3,629.00 / $10,000.00