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Georgia rates for HCPCS 63053

Lam Facetec/Foramot Drg Arthrd Lmbr Ea Addl Sgm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.69 / $3,391.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,875.00 / $7,875.00 / $7,875.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.52 / $337.52 / $337.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.63 / $2,225.00 / $57,200.00
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$159.84 / $159.84 / $159.84
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$25.58 / $25.58 / $25.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.33 / $340.86 / $1,055.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
62
Low / Median / High Price
$246.44 / $246.44 / $246.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$21.03 / $21.03 / $21.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$10.51 / $10.51 / $10.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $1,550.00 / $2,665.00