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Georgia rates for HCPCS A4774

Ammonia Test Strips

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $3.20 / $3.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $3.20 / $4.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $3.00 / $3.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.59 / $23.59 / $23.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.00 / $46.00 / $46.00