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Georgia rates for HCPCS J2504

Injection Pegademase Bovine 25 Iu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.74 / $345.74 / $345.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $345.74 / $345.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.96 / $647.24 / $1,350.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.50 / $395.73 / $395.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.39 / $291.39 / $367.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.21 / $425.21 / $425.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.54 / $357.54 / $416.56