go back

Georgia rates for HCPCS Q4106

Dermagraft, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.29 / $37.29 / $46.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.96 / $37.29 / $38.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.69 / $44.94 / $48.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.94 / $44.94 / $57.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.93 / $32.51 / $126.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.40 / $76.40 / $83.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.94 / $50.94 / $67.81