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Georgia rates for HCPCS B4162

Enternal Formula For Pediatrics Special Metabolic Needs For Inherited Disease

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.73 / $0.73 / $0.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.73 / $0.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.47 / $2.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $3.22 / $6.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $3.49 / $98.34