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Georgia rates for HCPCS Q4137

Amnioexcel Aminoexcel Plus Or Biodexcel Per Square Centimeter (Desc Rvsd 1/1/19)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.72 / $101.72 / $101.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $106.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $103.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.72 / $101.72 / $199.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.96 / $95.96 / $101.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $129.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.68 / $116.68 / $421.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.92 / $188.17 / $239.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $178.01