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Georgia rates for HCPCS 64483

Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.38 / $3,143.12 / $6,758.29
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,648.83 / $3,159.11 / $6,468.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$22.78 / $51.48 / $89.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.68 / $242.95 / $654.13
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$198.92 / $690.09 / $1,034.22
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$20.98 / $47.56 / $93.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.91 / $206.76 / $502.04
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$170.86 / $325.42 / $753.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.46 / $1,949.16 / $3,851.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.34 / $177.21 / $335.36
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$164.01 / $264.94 / $503.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.65 / $160.50 / $328.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.24 / $279.27 / $300.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.07 / $188.07 / $750.00
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$37.61 / $37.61 / $37.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.85 / $262.75 / $525.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.62 / $283.54 / $683.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
22
Low / Median / High Price
$375.68 / $375.68 / $820.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$109.57 / $109.57 / $239.17
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,625.05 / $1,625.05 / $3,225.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.02 / $236.28 / $437.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.00 / $2,360.00 / $4,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.45 / $354.67 / $627.46