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Georgia rates for HCPCS A6504

Compression Burn Garment Glove To Wrist Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.50 / $150.00 / $150.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.38 / $124.38 / $151.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.80 / $90.80 / $90.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.00 / $678.00 / $678.00