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Georgia rates for HCPCS Q4247

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.40 / $3,054.40 / $3,054.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,944.00 / $3,054.40 / $3,128.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.00 / $530.00 / $3,493.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,128.00 / $3,220.00 / $3,220.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.09 / $3,128.00 / $3,128.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,128.00 / $3,128.00 / $3,128.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.00 / $1,212.09 / $1,212.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.97 / $239.19 / $980.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,200.00 / $3,200.00 / $4,259.52