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Georgia rates for HCPCS Q4154

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.90 / $131.90 / $131.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $138.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $134.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.90 / $131.90 / $258.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.43 / $124.43 / $131.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $167.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.36 / $144.36 / $589.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.97 / $224.23 / $244.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $452.71