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Georgia rates for HCPCS Q4111

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.87 / $7.87 / $9.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $8.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $8.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.87 / $7.87 / $15.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.43 / $7.43 / $7.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $10.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.33 / $7.33 / $17.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $14.56 / $239.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $9.86