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Georgia rates for HCPCS Q4141

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.97 / $106.97 / $106.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $112.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $109.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.97 / $106.97 / $209.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.91 / $100.91 / $106.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $136.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.97 / $37.97 / $45.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.85 / $192.97 / $239.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $135.34