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Georgia rates for HCPCS 58615

Occlusion Flp Tube Dev Vag/Suprapubic Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.87 / $5,063.00 / $7,421.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.20 / $276.44 / $679.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.37 / $2,722.51 / $5,292.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.66 / $388.50 / $674.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.90 / $2,114.90 / $2,114.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.54 / $425.96 / $713.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.88 / $323.54 / $1,002.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $4,826.00 / $7,889.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.51 / $343.53 / $578.97