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Georgia rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.23 / $1.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.23 / $1.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $2.00 / $4.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $2.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $5.00 / $8.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.30