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Georgia rates for HCPCS A4100

Nonsheet form skin substitute, FDA-cleared as a device, not otherwise specified (list in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.59 / $4.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.34 / $98.34 / $100.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.97 / $192.97 / $239.19