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Georgia rates for HCPCS 63664

Revj Incl Rplcmt Nstim Eltrd Plt/Pdle Incl Fluor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,362.00 / $3,391.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,329.46 / $7,591.82 / $21,232.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.66 / $947.66 / $947.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.29 / $1,875.00 / $72,800.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$100.85 / $100.85 / $100.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.52 / $1,435.15 / $6,238.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$41.50 / $41.50 / $41.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $9,193.00 / $18,613.00