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Georgia rates for HCPCS Q4233

SurFactor or NuDyn, per 0.5 cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,120.10 / $5,120.10 / $5,120.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.50 / $487.50 / $487.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,453.00 / $7,859.00 / $7,859.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,234.34 / $4,385.57 / $4,621.22