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Georgia rates for HCPCS 58263

Vag Hyst 250 Gm/< W/Rmvl Tube Ovary W/Rpr Ntrcl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,374.00 / $5,063.00 / $7,631.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.20 / $4,415.29 / $8,702.00
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
$979.70 / $1,273.60 / $2,438.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $6,351.00 / $8,836.00