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Georgia rates for HCPCS Q4156

Neox 100 Or Clarix 100 Per Square Centimeter (Desc Revised 1/1/2018)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $69.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $67.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.88 / $65.88 / $129.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.15 / $62.15 / $65.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $83.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.04 / $64.05 / $76.86
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.00 / $121.88 / $239.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $165.47