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Georgia rates for HCPCS Q4210

Axolotl Graft or Axolotl DualGraft, per sq cm

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,726.56 / $1,777.34 / $1,777.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.00 / $848.00 / $848.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.00 / $1,726.56 / $1,726.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,441.60 / $1,441.60 / $1,568.80