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Georgia rates for HCPCS Q4165

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.19 / $44.19 / $44.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.59 / $44.19 / $45.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $12.89 / $3,990.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.25 / $46.59 / $46.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.25 / $45.25 / $45.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.25 / $45.25 / $45.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.58 / $30.58 / $36.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.97 / $192.97 / $239.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.36 / $44.36 / $67.87