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Georgia rates for HCPCS 64636

Dstr Nrolytc Agnt Parverteb Fct Addl Lmbr/Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.21 / $2,297.00 / $6,726.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,047.50 / $2,410.50 / $5,208.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.03 / $177.66 / $525.55
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$83.43 / $150.65 / $759.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.53 / $205.26 / $487.75
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$91.74 / $307.89 / $731.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $7,875.00 / $7,875.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.86 / $90.46 / $178.54
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$88.29 / $135.69 / $267.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.25 / $86.18 / $173.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.99 / $264.33 / $284.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.61 / $100.61 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $180.19 / $493.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.86 / $266.45 / $1,392.22
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,125.00 / $4,125.00 / $5,938.87
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.78 / $339.32 / $418.78
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
$150.88 / $269.51 / $458.00