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Georgia rates for HCPCS Q4074

Iloprost Non-Comp Unit Dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.52 / $158.91 / $158.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $167.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.91 / $172.43 / $172.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.41 / $158.91 / $158.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.08 / $158.91 / $312.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.08 / $135.08 / $135.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.91 / $149.91 / $158.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $158.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.59 / $163.06 / $237.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.57 / $158.91 / $243.15