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Georgia rates for HCPCS 64484

Njx Aa&/Strd Tfrml Epi Lumbar/Sacral Ea Addl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.45 / $2,221.00 / $6,758.29
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$367.70 / $367.70 / $367.70
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$10.64 / $23.09 / $43.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.19 / $105.13 / $296.89
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$73.95 / $159.19 / $459.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $98.09 / $226.79
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$295.77 / $295.77 / $340.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $839.59 / $1,697.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.48 / $86.25 / $171.47
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$75.72 / $129.38 / $257.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.46 / $73.69 / $149.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.21 / $126.26 / $135.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.31 / $86.31 / $2,500.00
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$17.26 / $17.26 / $17.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.48 / $122.93 / $266.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $127.52 / $399.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$49.73 / $49.73 / $107.51
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,625.05 / $1,625.05 / $3,025.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.72 / $106.21 / $196.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $1,550.00 / $2,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.81 / $170.69 / $293.91