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Georgia rates for HCPCS A4652

Microcapillary Tube Sealant (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.22 / $25.50 / $25.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.20 / $13.20 / $13.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00