go back

Georgia rates for HCPCS A6025

Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.97 / $12.97 / $12.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.46 / $12.66 / $15.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $12.55 / $31.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.69 / $36.74 / $36.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $29.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.76 / $35.69 / $105.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.55 / $28.59 / $40.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.06 / $10.59 / $23.92