go back

Georgia rates for HCPCS Q4155

Neoxflo Or Clarixflo 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $27.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $26.62 / $52.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $26.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.72 / $176.00 / $185.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $31.35