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Georgia rates for HCPCS Q4188

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.59 / $487.59 / $487.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $511.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $497.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.59 / $487.59 / $955.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.99 / $459.99 / $487.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $620.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.64 / $346.64 / $1,965.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.97 / $239.19 / $902.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $765.52