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Georgia rates for HCPCS Q4159

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.96 / $204.96 / $204.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $225.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $209.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.96 / $204.96 / $401.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.35 / $193.35 / $204.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $263.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.68 / $263.35 / $1,263.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.10 / $239.19 / $379.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $966.99