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Georgia rates for HCPCS Q4225

AmnioBind or DermaBind TL, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,698.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,698.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $257.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,691.53 / $3,801.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $1,380.38 / $1,548.82