go back

Georgia rates for HCPCS Q4151

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.88 / $134.88 / $186.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $141.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $137.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.88 / $134.88 / $264.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.25 / $127.25 / $134.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $171.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.41 / $143.41 / $505.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.97 / $229.31 / $249.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $156.35