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Georgia rates for HCPCS Q4161

bio-ConneKt wound matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,590.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,670.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,622.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $3,117.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.51 / $1,500.51 / $1,590.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $2,025.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.00 / $2,550.00 / $2,550.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.97 / $239.19 / $2,942.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $2,580.05