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Georgia rates for HCPCS G0458

Low dose rate (LDR) prostate brachytherapy services, composite rate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $31.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.80 / $617.85 / $1,021.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.50 / $233.50 / $233.50