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Georgia rates for HCPCS Q4153

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.93 / $137.93 / $137.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $144.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $140.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.93 / $137.93 / $270.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.12 / $130.12 / $137.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $175.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.71 / $232.71 / $589.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.97 / $234.48 / $255.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $241.38