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Georgia rates for HCPCS 76965

Us Guidance Interstitial Radioelment Application

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.72 / $128.05 / $286.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.66 / $90.03 / $250.63
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.79 / $64.81 / $235.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.92 / $142.74 / $402.77
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.08 / $89.19 / $172.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.66 / $175.33 / $307.04
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.68 / $113.60 / $180.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.58 / $106.47 / $672.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.44 / $75.26 / $277.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.67 / $148.27 / $338.75
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.80 / $85.64 / $150.41