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Georgia rates for HCPCS A4928

Surgical mask, per 20

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.00 / $1.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.63 / $18.63 / $18.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $17.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00