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Georgia rates for HCPCS Q4219

Surgigraft-Dual Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.00 / $996.00 / $996.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.00 / $996.00 / $1,020.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.84 / $107.46 / $749.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $1,050.00 / $1,050.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $1,020.00 / $1,020.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.00 / $1,020.00 / $1,020.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.00 / $1,020.00 / $1,020.00
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
$788.99 / $788.99 / $1,050.22