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Georgia rates for HCPCS Q4180

Revita Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.12 / $1,484.28 / $2,761.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.12 / $656.12 / $721.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.89 / $656.12 / $669.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.12 / $656.12 / $1,286.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.98 / $618.98 / $656.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.12 / $656.12 / $835.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.00 / $1,417.80 / $1,417.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.97 / $239.19 / $1,213.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.12 / $656.12 / $1,533.74