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Georgia rates for HCPCS 80376

Drug/Substance Definitive Qual/Quant Nos 4-6

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $35.79 / $42.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $42.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.93 / $26.07 / $30.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.69 / $8.93 / $27.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $27.92 / $66.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $32.54 / $32.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $123.00 / $170.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.77 / $14.48 / $27.14