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Georgia rates for HCPCS Q4101

Apligraf, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.23 / $30.23 / $4,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.53 / $55.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.23 / $30.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.23 / $30.23 / $59.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $28.52 / $30.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.23 / $38.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.48 / $30.48 / $69.98
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.39 / $55.93 / $239.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.23 / $49.74