go back

Georgia rates for HCPCS Q4139

Amniomatrix Or Biodmatrix Injectable 1 Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $640.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.00 / $640.00 / $1,820.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.55 / $199.48 / $306.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.00 / $1,516.00 / $1,516.00