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Georgia rates for HCPCS 66174

Trluml Dilat Aqueous O/F Can Wo Retention Dev/St

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.11 / $5,063.00 / $7,421.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$792.59 / $792.59 / $1,236.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.92 / $1,003.19 / $1,710.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.92 / $567.11 / $1,060.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.63 / $4,075.69 / $8,545.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.51 / $1,221.93 / $1,702.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.82 / $1,266.38 / $74,999.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.00 / $2,285.73 / $2,878.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.12 / $1,419.85 / $2,128.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.31 / $961.90 / $7,321.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$741.80 / $741.80 / $741.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$52.99 / $52.99 / $52.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$42.39 / $42.39 / $42.39
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,889.07 / $4,889.07 / $5,959.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.18 / $787.55 / $895.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.00 / $7,299.00 / $11,889.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.80 / $1,324.98 / $1,895.13