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Georgia rates for HCPCS Q2004

Bladder Calculi Irrig Sol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.79 / $100.79 / $100.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.14 / $100.79 / $100.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.19 / $109.79 / $109.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.59 / $101.19 / $115.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.22 / $106.25 / $208.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $11.82 / $11.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $85.67 / $100.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.19 / $101.19 / $121.43