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Georgia rates for HCPCS J1458

Injection, galsulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.51 / $508.76 / $743.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.51 / $508.76 / $611.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.76 / $828.26 / $1,867.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.00 / $508.76 / $508.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.76 / $508.76 / $997.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.96 / $479.96 / $508.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.86 / $445.29 / $533.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $645.59